HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�,'>"�° _ �; RECEIVED
Building Permit Applicatio ri AUG 16 2018
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
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
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Address:
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Address: 35 Vista De Laguna, Fort Pierce
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE LEASEHOLD ESTATES(OR 2389-639)THAT PART OF SEC AS SHOWN IN OR 2389-639 BEING LOT 35VISTA DE LAGUNA(OR 4077-919)
Property Tax ID#: O <5 O— S Lot No.35
Site Plan Name: P228 Block No.
Project Name: P228
Setbacks Front Back: Right Side: Left Side:
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Re-roof 17.98 squares with Owen's Corning Oakridge FL#10674-R13 S pt.4het l9Cl Fe
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Additional work toa ertormed under this permit—check a appy:
HVAC Gas Tank []Gas Piping _Shutters a Windows/Doors
FlElectric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1798 Sq. Ft.of First Floor:
Cost of Construction:$ 6795.00 Utilities: Sewer Septic Building Height:
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Name Machelle Merriman Name: Chris Dutruch
Address:35 Vista De Laguna Company: My Affordable Roof
City: Fort Pierce State:_ Address: 1585 Kennesaw Dr
Zip Code: 34951 Fax: City: Claremont State:FL
Phone No.217-415-9440 Zip Code: 34711 Fax: °
E-Mail: Phone No. 772-247-4663
Fill in fee simple Title Holder on next page(if different E-Mail: wendell@myaffordableroof.com
from the Owner listed above) State or County License: CCC1331305
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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
commencing wor cor ing your Notice of Commencement.
C L 2LA--<::��
Signature of Owner/Lessee/Contractor as gent for Owner Signature o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF f _ COUNTY OF PS L
The for oing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this Z y of 20 LSS by this IL"day of -)L)/L.-. ,20_16 by
rz L-" -UQ_k-)
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known \_/_OR Produced Identification
Type of Identificatio Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida (Signature of Not trt�t�q blicRatAWofi&W4ga)
Roberta ennatt �� NOTARY PUBLI
Commission No. NOTP(�Yall Q500- Commission Nc a OF 171-061)
=STATE OF FLQfl�i Comm#FF952012
i Comm#FF01i;?02 •INCE 15�V
• E fres 1/20/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17