HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER (ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:_
Name:
Address:
Address:
City: State:
City State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 10380 SW Village Center Dr. #232
Address:
City:
City:
Zip: Phone:
Zip: Phone:
UvvivM/ I -VIM I KAL! UK AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I 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 the permit 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 Horne 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
commencing work or recording your Notice of Commencement.
Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF—
411- -
Signa ure ofContractor/License Holder
STATE OF FLORIDA
COUNTY OF ---
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this / day of }'1'%r 20 j by this I day of I IQ J _ 20 /,? by
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
of Notary Public -
Commission No. FF112219
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
LETTE BENICHIO
IMISS ION 9 FF 112219
RLS: July 18, 2018
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Sign ure of Notary Public- State of Florida j
mission No. FF112219� ETTE BENICHIO
.!"i
.a31 C0 h71SS10N 0 FF 112219
n� EXPIRES. July 18, 2018
UPERVIS
S REVIIEWOR REE NS W VREV EW ON S REVIEW I M EVIEWVE
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/01/2018
z6UNTY
F L O
Permit Number:
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: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 7920 Black Tern Dr. Port St Lucie, FL 34952
Legal Description: Eagles Retreat at Savannah Club ( PB 42-24) Blk 54 Lot 15
Property Tax ID #: 3424-701-0031-000-9
Lot No. 15
Site Plan Name: Block No. 54
Project Name: Dom
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing roofing, renail deck, install underlayment and new asphalt shingles.
CONSTRUCTION INFORMATION:
itlona wor toe e orme un er t is permit — c ec a app y:
OHVAC Gas Tank Gas Piping _rl Shutters n Windows/Doors
I�i / oors
Electric 0 Plumbing 05prinklers Generator Roof 312 Roof pitch
Total Sq. Ft of Construction: 3513 sq ft
Cost of Construction: $ 9360.00
OWNERAFSSEE:
NameJarres F Dorn
Address:7920 Black Tem Dr.
SFt. of First Floor: _
Utilities:]Sewer ❑Septic
City: port St Lucie State:FL
Zip Code: 34952 Fax:
Phone No. 772-905-8501
E -Mail: carold38@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: Larry Mcdonald
Company: southeast General Contractors Group
Address: 10380 SW Village Center Dr. #232
City: Port St Lucie State: FL
Zip Code: 34987 Fax: 877-756-0007
Phone No. 877-4.07-3535
E -Mail: LMCDONALD@SOUTHEASTCONTRACTING.COM
State or County License: cccl330002
If value of construction is $250[3 or more, a RECORDED Notice of Commencement is required.