HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDM.
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Date: 07/20/2018 ermit Number: J�uh
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•
RECEIVED
Building Permit Ap lication AUG 0.2 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
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
PROPOSED IMPROVEMENT LOCATION:
Address: 8202 Hibiscus Rd Fort Pierce,Fl. 34951
Legal Description: Lakewood Park Unit 5 Blk 53 Lot 13
Property Tax ID#: 1301-605-0305-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Bruce Arnold Jr.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Tear off existing shingle roof,renail sheathing,dry in with Tribuilt Sa SA FL16048-R6,Install OC Tru-Def shingles
FL10674-R13
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—c ec all appy1_1 :
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof 7:12 Roof pitch
Total Sq. Ft of Construction: 26 SQ. S Ft. f First Floor:
Cost of Construction:$ 12,800.00 Utilities: ewer Septic Building Height:
OWNER/LESSEE: CON RACTOR:
Name Bruce Arnold Jr. Name Christopher A.Long
Address: 8202 Hibiscus Road Comp ny. The Roof Authority,Inc.
City: Fort Pierce State: FL Addre s: 6771 N. Old Dixie Hwy.
Zip Code: 34951 Fax: City: ort Pierce State: FL
Phone No. 410-662-2880 Zip Code: 34946 Fax: 772-468-2247
E-Mail: Phon No. 772-468-7870
Fill in fee simple Title Holder on next page(if different E-Mai : tral993pgmail.com
from the Owner listed above) State r County License: CCC056933
If value of construction is$2500 or more,a RECORDED Notice of Comme cement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMA ION:
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 BONDIN COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City.
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obt in 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,bylaiks or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review yo I r deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree t at I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lu ie County Amendments.
The following building permit applications are exempt from undergoing a ful concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms an accessory uses to another non-residential use
WARNING;TO OWNER:Your failure to Record a Notice of Comme cement may result in your paying twice for
improvements to your property. A Notice of Commencement ust be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, colnisult with lender or an attorney before
commencing work or recording our Notice of Commencement
Signature of Owner/Lessee/Contractor as Agent for Owner Signa u e of Co ractor/License Holder
STATE OF FLORIDA STATE F F ORIDA
COUNTY OF St.Lucie COON F St.Lucie
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of 120_ by this J day of S7 20—IX by
C 'stopher A.Long
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Person Ily Known X OR Produced Identification
Type of Identification Type of Identification
Produced ' Produc dy W.Sutton
s�o NOTARY PUBLIC
? :+STATE OF FLORIDA
S Y" i Comn•0 GG185982
(Signature of Notary Public-State of Florida) (Signa ure of Notary Publia �ofEkp )3QU179=
Commission No. (Seal) Commi sion No.67g( 92 (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLAN VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIE REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17