HomeMy WebLinkAboutBuilding Permit Application I
ILL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 7/31/2018 ermit Number:
RECEIVE[
Building Permit Ap lication pllr, 14,20V
Planning and Development Services
Permitting Departn
Building and-Code Regulation Division so- count*
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof ~
PROPOSED IMPROVEMENT LOCATION:
Address: 102 Carlisle Lane -
1
Legal Description: 16 36 40 S 125 FT of SE 1/4 LYG E of ST Lucie RIV-Less E 30 F r for RD RM-(0.90 AC)(OR 1146-1715;3560-2953)
p y 3416-444-0002-000-4
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name: Park
Setbacks Front Back: Right Side: Left Side:
!DETAILED DESCRIPTION OF WORK:
!
Remove existing shingle roof Replace w/ new shingles
`,CONSTRUCTION INFORMATION:
itiona work toe e orme under tIs permit—check a a ply:
HVAC E]Gas Tank ❑Gas Piping _S utters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 4937 S Ft.of irst Floor:
{Cost of Construction:$ 18,850.00 utilities:
Se er E]Septic Building Height:
1OWNER/LESSEE: CONT ACTOR:
lNameRichard & Irene Parks Name: 0anielle Beggs
Address:102 Carlisle Lane Compan : Alliance Group
!City: Port St. Lucie State:FL Address 532 NW Mercantile PL#113
Zip Code: 34952 Fax: City: Po I, St. Lucie State:FL
Phone No. Zip Cod : 34986 Fax: 772-492-8008
E-Mail: Phone No. 772-492-8006
rFill in fee simple Title Holder on next page(if different E-Mail: ands@alliancegroupllc.com
;from the Owner listed above) State or County License: CCC1330918
If value of construction is$2500 or more,a RECORDED Notice of Commencc ment is required.
i
`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 BONDIN COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obta 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 permit.
St.Lucie County makes no representation that is granting a permit will autho ize the permit holder to build the subject structure
Which is in conflict with any applicable Home Owners Association rules,byla s 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 tl at I will,in all respects,perform the work
11 accordance with the approved plans,the Florida Building Codes and St.Luce County Amendments.
The following building permit applications are exempt from undergoing a full oncurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and iccessory 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 ML st be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, con ult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Ow U r essee/Contractor as Agent for Owner Signature of C r for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFS«UC1e COL11NTYOFStLucie
The forgoing instrument was acknowledged before me The forgo ng instrument was acknowledged before me
this 31 day of July 20_ by this 31st Jay of July 20_ by
Danielle Beggs Danielle Begg
Name of person making statement I Jame of person making statement
Personally Known x OR Produced Identification Personal) Known x OR Produced Identification
Type of Identification Type of I entification
Pr duced Produced
ama'✓� ( "�
(Signature of otary Public.State of Florida) (Signatur r, l I a
Notary Public State of Florida
Commi ic�{a4V Notery Public State of Floric�eal Commissitl �' Karolyn H LeBlanc eal
Cs GG 2240d�
Karolyn H LeBlanc '; 4 1� Expires 06/0312022
My commission GG 224008 a c1p`
5P Expires 06/03/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17