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HomeMy WebLinkAboutBuilding Permit Application A, - LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE CEPTED - ALL APP P rmit Number: Date: Building Permit AP lication Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982_ Commercial Residential Phone: (772)462-1553 Fax: (772)4621578 PERMIT APPLICATION FOR: Roof -ORO,pOSEb IMPROVEMENT LOCATION' Address" 8281 SANDPINE CIRCLE PORT SAINT LUCIE FL 34952 Legal Description: LAKE LUCIE ESTATES PLAT'NO.ONE LOT 54 Lot No.54 Property Tax ID#: 3426-703-0068-000-9 COOK Block Na. Site Plan Name: Project.Name: COOK Setbacks Front Back: Right Side: Left Side: LD-ET AfvvLE_D_DE��CR)PT1"0_N�C►F 'REMOVE EXTING ROOF COVER/ SHINGLE INSTALL NEW UNDERLAYMENT i PEEL& STICK INSTALL NEW SHINGLE CORlSTRl1CTI0N INFORMATION . _ . Additional work topeDerformed� under this permit—c ec� all that app y: OHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors .Electric �Plumbing Sprinklers F]Generator �Roof 5112 Roof pitch Total Sq.Ft of Construction: 3033 SQ.Ft.of First Floor: 3033 Cost of Construction:$ 15,000 Utilit' s:z Sewer Septic Building Height: 8' "ONRE1- Name Margaret Cook Name: Mauricio-Orellana Address:8281 Sandpine circle Company: ONE CONSTRUCTION&ROOFING City: Port Saint Lucie State:FI Address:2766 SW EDGARCE ST Zip Code: 34952 Fax: yCity: PORT SAINT LUCIE Phone No.772-3452920 State:FL E-Mail.nta Zip Cade: 34953 7"�'�'�'------... Fax: Fill in fee sim97 ple Title Holder on next page(if different Phase ane 2-2�— from the Owner listed above) E-Mall: 'RL'I State,or5jf��% tf value of construction is$2500 or more a RECO I RbE©Notice Df cotlift�Gi9CQil� RIJI, } ., AO �, Now J ` ..i 4 DESIGNER/ENGINEER: x Not Applicable MOR GAGE COMPANY: Not Applicable N am e:Margaret Cook N a m :Mauricio Orellana Ad d reSS:8281 SANDPINE CIRCLE PORT SAINT LUCIE FL 34952 Add r I SS: 8281 Sandpine circle City: Port Saint Lucie State: City: PORT SAINT LUCiE State: Zip: Phone Zip: i Phone: FEE SIMPLE TITLEHOLDER: Not Applicable BONING COMPANY: _Not Applicable Name: Namlp Ad d ress:2766 SW EDGARCE ST Addess: City: City: 1 Zip: : Phone: Zip: ' Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made t •obtain a permit to do the work and installation as indicated. 1 certify that no work,or installation has commenced prior to the issua ce of a permit. i St. Lucie County make's no representation that is granting a permit will uthorize 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 revi w your deed for any restrictions,which may apply. In consideration of the granting of this requested permit, I do hereby ree 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 fo,'llowing building permit applications are exempt from undergo! g a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen roo s and accessory uses to another non-residential use j WARNING TO OWNER:Your failure to Record a.Notice of Go mencement may result in your paying twice for improvements to your property.A Notice of Commencem nt must be recorded and posted on the jobsite before the first inspection. if you intend to obtain financi g, consult with lender or an attorney before commencin work or recording our Notice of Commenc ment.'- iSignature of owner/Lessee/Contractor as Agent for Owner ignature of ntractor/License Hold STATE OF FLORIDA TATE OF FLORIDA COUNTY OF L, OUNTY OF Theg instrument was acknowledged before me he for Ing instrument was acknowledged before me thisOeday of .20by his ay of �.��r. ,20by i, 1"`..CR.Lj„-'�'`��'Lc� �JSc��r�ti•�..�_ ���U..^a\�\C� �"5�i\�,y.'� Name of person making statement Name of person making statement Personally Known L_—OR Produced IdentificationPersonally Known c_..-- OR Produced identification Type of identification Type of Identification Produced Produced (Signature of Notary Pu "IC of lorida j (Signature of Notary Public_State of Florida) -- Commission No. ,,,.o PavdG�,�, PAOSVp1l BLAIR-ALEXANDER Commission No. �` ��a, Notary Public- vP�e`J a?6BLAIR-ALEXAND F Commission#tFF 995Of 699da -•** 'A Notary Public.state of Flor1 a1141, s e a ec Commission,ff FF 995699 REVIEWS FRONT Z N p 6 2C2B °a;aF�.oe` MY Co m.Expires Sep 6,2 Z PLANS VEGETATION EW ��������� COUNTER REVIEW REVIEW - REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED Rev.8/2/17 - 1 t