HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application JUL 19 2018
Planning and Development Services
Building and Code Regulation Division Pei mittlrig -IDepartrnen
2300 Virginia Avenue, Fort Pierce FL 34982 . Ike County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Res
PERMIT APPLICATION FOR: Roof
PRQpQSED IIV (}UEMN`i,LOCATIN..
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Address: 1814 W BOOTHE DR. FORT PIERCE', FL 34982
Legal Description: 21 35 40 E 158 FT OF S 125 FT OFE 3/5 OF W 1/2 OF NW 1/4 OF SE 1/4 OF SW 1/4
LESS S 25 FT FOR WBOOTHE DR- (0.36 AC) (OR 463-220
Property Tax ID#: 2421-342-0004-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIQN OF WORK
RE-ROOFING .5/7
Q Gv moi'-�Cj �pGPiti/�S i3�/l�`�LT SFAs tieGe�
CONSTRUCTION INFORMATION; z4 T
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Additional wor toa e orme - under this permit—check a appy:
❑HVAC E]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑_Plumbing ❑Sprinklers ❑Generator ❑ Roof �, Roof pitch.
Total Sq. Ft of Construction: 25.64 S . Ft. of First Floor: 2564
Cost of Construction:$ 8500.00 Utilities:In Sewer❑Septic Building Height:
OWNER/LESSEE, CONTRACTOR
. .,,
Name J&Ze�� 4/l jF Name: Al OW 2ZL,?
Address: Company: CONFORT BUILDERS, LLC
City:�&47ZG6'J State:FL Address: 393 NW STRATFORD LN,
Zip Code: 34982 Fax: City: /&do State:-FL
Phone No. Zip Code: 34983 Fax:
E-Mail: Phone No. 772 224 9110
Fill in fee simple Title Holder on next page(if different . E-Mail: cobuilders15@yahoo.com
from the Owner listed above) State or County License: CCC 1328737
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW If' I±"�RMATION
DESIGNER/ENGINEER. _Not Applicable MORTGAGE li
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:393 NW STRATFORD LN 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 thepermit 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 j
before the first inspection. If you intend to oI
Ging, consult with lender or an attorney.bef e
commencingwork or recordingour Noticecement. ��Q 15
5.5 RSignature of Owner/ essee/Contract r asAgent foignature o Contracto icense Holder gco
2
STATE OF FLORIDA - STATE OF FLORIDA Q UXCOUNTY OF COUNTY OF �w
The for oing instr ent was acknowledged beforeThe forgoing inst ume t as acknowledge eforthis�day of 20 bythis�day of 20, byQ
Name of person aking statement Name of persoryct�aking statement
Personally Known OR Produced Identification Personally Known � OR Produced Identification
Type of Identification Type of Identification
Produced Produced
i
(Signature of Itia
ry Public-State of Florida (Signature of Notaryblic-State of Florida)
Commission No. (Seal) Commission.No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17