HomeMy WebLinkAboutRevisions ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: SLC-1804-0619
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT.LOCATIO{N. -
_..
Address: 304 ROSEWOOD DRIVE FT. PIERCE, FL 34947
Legal Description: SANDALWOOD ESTATES
Property Tax ID#: 2407 8010053 000 0 Lot No.24
Site Plan Name: Block No. D
Project Name:
�Se#backs Front Back: Right Side: Left Side:
I
DETAILED DESCRIPTION OF WORK . =
- r
GAF TIMBLINE SHINGLE RE-ROOF
CONSTRUCTION INFORMATLON
_ .
Additional work to be nerformed un er Ms permit—check all appy:
❑HVAC Gas Tank Gas Piph _Shutters Windows Doors
❑Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 2 S . Ft.of First Floor:
Cost of Construction:$ �� ,b_7J- 00 Utilities:'n Sewer❑Septic Building Height:
j01NNER/LESSEE =' `CONTRACTOR:
�Name L Name
Address:J1i0 ?.C'sV'4_ Company:
)City: St
ate: i Address
Zip Code: * Fax: City:ZI 'LI t f euab State:
Phone No.�1�. ' -�� Zip Code��42- Fax:
E-Mail: Phone No. — p I I_
Fill in fee simple Title Holder on next page(if different E-Mail: VJ 0_ -WM
from the Owner listed above) State or County Licens .
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN16AW IN ,
DESIGNER/ENGINEER: —No icable MORTGAGE COMPANY: _Not Applic
- Name: Name:
Address: Address:
City: -ce: City: State:
Zip: Riorne Zip: Phone:
ZAddr :
E HOLDER: _Not Applicable BONDING CO Y: Not Applicable
Name:
Addres'Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
II certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
,before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
before
work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Ajent for Owner Signature of Contractor/License Holder
STATE OF FLItJ COUNE OF TY
OFFLORIDA
Q �
COUNTY OF
The rgoing inst umept was acknowledge before me The f r oing instr ent as acknowledgedbefore me
this day of I(.t L 20 IV by thisy day of iZ� 20 I5by
�ira..a�.�S ��nc>�-� �r�C�iS �►[CG�a�la�
Name of pe s n making statement Name of p s making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
I
° Notary Public State of Florida
(Sign tura of to bbQ a on GG 179975 (Sign ure f ry Public- a oriq l Zaso e
o o
NO Expires 01/28/2022 pMy Commission GG 179975
1 6 OF SO Er5gilp1/28/2022
Commiss o. � Comm o. 1J
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE FREVIEW
ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
j RECEIVED
DATE
COMPLETED
Rev.8/2/17
NOTICE OF COMMENCEMENT
Permit No. SLC-1804-0619 Property Tax ID No. 2407-801-0053-000-0
State of Florida,County of St.Lucie
The Undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
Legal Description of property and address if available SANDALWOOD ESTATES BLK D LOT 24
304 ROSEWOOD DRIVE FT. PIERCE, FL
General description of improvements RE-ROOF
Owner/lessee TAMA L CLASBY
Address 310 ROSEWOOD DRIVE FT.PIERCE,FL 34947
Interest in property: OWNER
Fee Simple Title holder(if other than owner) N/A
Address
Contractor BUCHANAN SERVICES, LLC Phone# 800-379-0122
Address 3300 SW 11TH STREET DEERFIELD BEACH,FL 33442 Fax# 772-324-8090
Surety Phone#
Address Fax#
Amount of Bond
Lender Phone#
Address Fax#
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(a)7.,Florida Statues:
Name Phone#
Address Fax#
In addition to himself,owner designates of
Phone# Fax#
to receive a copy of the Lienor's Notice as.provided in Section 713.13(1)(b),Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13,F.S.,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FHRST INSPECTION.IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
Owner/Lessee,or Owner's or Lessee s Ant orized Off, /Direct, artner/Manager/Signature
Signatory's Title/Office
State of Florida,County of Si-Ut&�
Acknowledged before me this t7 ,day of Ytt 20 1'V ,by
who is RersonaLyhpovn to me or who has produced as identification.
i
Kelly Zaso
Signature Notay Type or Print Name of Notary (Seal)
GG 179975
ublic Commission Number :owe Notary Public State of Florida
Kelly Zaso
My Commission GG 179975
'?OFNO� Expires 01/28/2022