HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: 06/04/18 Permit Number:
.._. . _s.. ;�:. :.. ... RECEIVED
Building Permit Application JUN p 4 2018
Planning and Development Services ST. Lusie GaLmty, Permitting
Building and Code Regulation Division m —�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof —g�
PROPOSED IMPROVEMENT LOCATION:
Address: 1
Legal Description: Orange Blossom estates first addn Blk 2 Lot 18
Property Tax ID#: 2421-602-0037-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Luna/Magana Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REROOF, remove current shingle system, inspect and/or repair deck to code, install underlayment,
install new shingle roof system
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2600 S . Ft.of First Floor:
Cost of Construction:$ 7,500.00 Utilities. Sewer F]Septic Building Height: 14'
OWNER/LESSEE: CONTRACTOR:
Name ` "� ` r 1 C Name.
Address: ['' Company:
.
Modem Construction Experts, LLC
Cit "� State:FL Add ress�ii ' �9 Jl 121 A M, _'Q'e✓
Zip Code: 34950 Fax- City:,- '�d State:FL
Phone No. Zip Code: 34997 Fax:
E-Mail: Phone No. 772-600-7872
Fill in fee simple Title Holder on next page (if different E-Mail: jenni@mcexperts.net
from the Owner listed above) State or County License- CCC042804
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X 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: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR 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 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
commencin work or re�
�cling your Notice of Commencement;
Signature of 6wrr6r/Lessee/Contractor as Agent for Owner Signatur ontractor/license Holder
STATE OF FLOWPA STATE OF F4Q�tIDA
COUNTY OF � ,�;�� COUNTY OFA )k -(
The forgoing instr ment as acknowledged before me The orgoing instrument as acknowledged before me
this 4 day of� 20Z by this day of_k_ L 20 0--by
Name of personlaamm
king statement Name of person making stateent
Personally Known // OR Produced Identification Personally Known i✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
I
(Signature of Nota Public-State of Florida (Signature --
JHOVANNA NEGRON B
: '°• ;; JHOVANNA N GF>1ON B ''' ''.
Commission ' Commis ion Y I N#rF2213eil
MhAISSION 21906) :�.�,�;
EXPIRES April 19.2019 %?'aF EXPIRES April 18.2019
F idallotelyService..00rt 4C7i39Cb59 floridaNaaryService.capm
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17