HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application AUG
Planning and Development Services
Building and Code Regulation Division pe 1 f i 1 i Lti n g D e p a rtm e n t
2300 Virginia Avenue,Fort Pierce FL 34982 fit= UC°�, C�llnt'yvo �L
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resi P �?I __
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 126 NW AIROSO BLVD. Port St. Lucie FL 34983
Legal Description:
RIVER PARK-UNIT 8- BLK 139 LOT 7(MAP 34/28N) (OR 3542-34)
Property Tax ID#: 3419-555-0007-000-9 Lot No. 7
Site Plan Name: 126 NW AlROSO BLVD Block No. 139
Project Name: SHINGLE TO SHINGLE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORK:
REMOVE EXISTING SHINGLES DOWN TO THE WOOD DECK AND INSTALL NEW
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t Ispermit–check all Fa_rppy:
HVAC Gas Tank Gas Piping _Shutters l]Windows/Doors
11 Electric 0 Plumbing []Sprinklers I Generator R] Roof 3:12 Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 99500 Utilities: —Sewer-Septic Building Height:
OWNER/LESSEE: CONTRACTOR
Name SHRT Enterprise Name: Javier Solis
Address: 1671 SE Port St. Lurie Blvd Company: SOLIS ROOFING CONTRACTORS INC.
Port St. Lucie State: FL Address: 1033 SW Dalton Ave
Zip Code:_34981 Fax: City: Port St. Lucie State:FL
Phone No. Zip Code: 34953 Fax: 772-678-4097
E-Mail: Phone No. 561-662-6622
Fill in fee simple Title Holder on next page(if different E-Mail: SOLISROOFINGINC@GMAIL.COM
from the Owner listed above) State or County License: CCC1330147
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x 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 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement
Signatur f Owner/Lessee/Contractor as Agent for Owner Sign tui of Contractor/License Holder
STATE OF FLORIDA / - STA F FLORID
COUNTY OF /�N,�, COU OF
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The fo oing instrunt was ac owledge efore me The f r oing instru nt was a knowledged before me
this day of U 20 by this day of U 20 by
Ci LAC-r
Name of person tng statement Name of perso making statement
Personally Known �R Produced Identification Personally Known jZ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
hill
(Signature of Notary Public-St to of Florida) (Signature of Notary P b ic-S to of Florida)
Rv ueJ, MARIWMANO �PPY•;ue�, MARIAMAJANO
Commission No. 2° '• °* M1�11SSION#FF 181432 Commission No. �° c �� ISSION#FF 181432
* EXPIRES:Aptil4,2019 * Bo aea I EB dgeplNotaryoerviaes
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B,,ded*u Budget Notary Services �l"rFOF �P
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17