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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5 I'�`al �d Permit Number: `1� Gb— d 5qq L-GLOX411 EWA 7RECEIVED Building Permit Application 2 2 2018 Planning and Development Services Building and Code Regulation Division ST. ounty, Permitting 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 da PROPOSED IMPROVEMENT LOCATION: Address: 421 SE Tranquilla Ave Port St Lucie, FL 34983 Legal Description: RIVER PARK-UNIT 4 BLK 33 LOT 16 (MAP 34/28N) (OR 251-1039) Property Tax ID#: 3419-530-0073-000-5 Lot No. 16 Site Plan Name: RE-ROOF, SHINGLES Block No. 33 Project Name: RE-ROOF, SHINGLES Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: RE-ROOF, SHINGLES, 54 3 'Z, 2l b� i) i�ibli 3D i �;' fr'1,►. '4' ,51n t rlo`1E,$ Ce rA-C n FCONSTRUCTION INFORMATION: Additional work toe er orme under this permit—check a appy: HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric ElPlumbing Sprinklers Generator F7 Roof 312 Roof pitch Total Sq. Ft of Construction:' z o S . Ft. of First Floor: Cost of Construction:$ 11,336 Utilities:i Sewer Septic Building Height: 10 OWNER/LESSEE: CONTRACTOR: Name RUDOLPH WIDMAN Name: WILLIAM B EDWARDS Address:421 SE TRANQUILLA AVE Company: STORM TEAM CONSTRUCTION City: PORT ST LUCIE State:FL Address: 4050 US HWY 1 Zip Code: 34983 Fax: City: JUPITER State.FL Phone No. Zip Code: 33477 Fax: E-Mail: Phone No. 561-512-5891 Fill in fee simple Title Holder on next page(if different E-Mail: FLPRODUCTION@STORMTEAMUSA.COM from the Owner listed above) State or County License: CCC1331451 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable Name:RUDOLPH WIDMAN Name:WILLIAM B EDWARDS Address:421 SE T-nquilla Ave Port St Luae,FL 34983 Address: 421 SE TRANOUILLAAVE City: PORT ST LUCIE State: City: JUPITER State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:4050 US HWY 1 Address: City: City: Zip: Phone: Zip: e: OWNER/ CONTRACTOR AFFIDVIT:Application is hereby made to obtain a pc.-mit 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 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 commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF F=ID STATE OF FLORIDA pp � COUNTY O �V� -caC.G� COUNTY OF_,T�z W.& C lti The for.instrum n was acknowledgebefore me The for oing instru nt was acknowledged before me this P day of 20 by this/ day of 20f by I l GU %��ia tK �Di I,Jar�S Name of pers making statement Name of person making statement Personally Known OR Produced Identification Personally Known k—OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-State of Florida) (Signature of Notary Public tate of Florida) Commission No. (Seal) mission No. ___ _ Seo4RISTA-LYN SALMON SALMONSON .' Y? S=q'•• '���= MY COMMISSION#FF 96 9 p�©,, CHRISTFF A LYN # 96599' = :•i • COMMISSION EXPIRES:March 10,20 0 ter9 --- _ EX IRES ubllc Unde fil"5 REVIEWS FRONT "% �videdT r'Sly NS VEGETATION ANGROVE E : COUNTE IEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17