HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/02/2018 Permit N
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Building Permit Applicati n JUL 2 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial esl en
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 521 Hemingway Terrace Fort Pierce, FI. 34982
Legal Description: Tropical Isles Unit- 10 (or 2834-1573)
Property Tax ID#: 3410-508-0120-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Tear off exising shingle roof, renail sheathing, Dry-in with Tri-built SA Underlayment, Install Owens Corning
True- Definition Shingles.
FL16048-R6 Tri-Built Sand SA Underlayment
FL16074-R13 Ownes Corning Shingles
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check all t appy:
1]HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
DElectric 0 Plumbing []Sprinklers Generator ® Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 21 SFt.of First Floor:
Cost of Construction:$ 9,800.00 Utilities:ln Sewer OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name legit,/ C Name: S
Address: Svc N i Company: r acr)lidgl
City: Ge State:U
A Address: 7 OL X Z
Zip Code: c — Fax: City: Stater
Phone No. Zip Code: 3 (-04 / Fax:
E-Mail: Phone No. 7 2
Fill in fee simple Title Holder on next page(if different E-Mail: W AW, doe'
from the Owner listed above) State or County License: f —23
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: 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
commenciniz,work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signatu a of Co tractor/License Holder
STATE OF FLORIDA l STATE O LORIDA
COUNTY OF S �, LvLf E ��`1 vim, COUNTY OF STL00-iC-
The forgoing instrument was acknowledged before me Theoing instrument was acknowledged before me
this 9 day of fo 20A by this day of .JJ 20_L�'by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification J_ Personally Known OR Produced Identification
Type of Identification Type of Identificatio
Produced 1 L. Produced
(Signature of N tary Public-State of Florida) (Signature 9f Notary Public-State of Florida)
C �� othy W.Sutton V� V- 11
Timothy W•Sutton
Commission No. V�Ry4. e�P Commission No. 4 l- NOTARY PUBLIC
N�TARY PUBLICSTATE OF FLORIDA 0STATE OF FLL 82 y Comm#GG18598
"PVC �e • NC—E1 9 Expires 2
NC As E p r s 3/20/202
REVIEWS FRONT ZONING StI�P.ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17