HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �] Q
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2,300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof El
PROPOSE D,I MPROWEIVIENT-LOCATION.;:
Address:
7508 PENSACOLA RD
Lelgal Description: LAKEWOOD PARK-UNIT 6- BLK 68 LOT4 (MAP 13/02S) (OR 4115-2664)
Property Tax ID#: 1301-606-0233-000-9 Lot No.4
Site Plan Name: Block No. 68
Project Name. Federal National Mortgage Assoc RE-ROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTN IO
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OF WORK
TEAR OFF EXISTING ROOF SYSTEM"AND RE-ROOF WITH ASPHALT SHINGLES
TAtMiLO PYLO(lec- 11-�C�l� L_ I$ 1SS'
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CONSTRUCTION INFORMATION
A,&tional work to be nertormed under this permit—check all appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
❑Electric ❑_Plumbing OSprinklers ❑Generator R1 Roof Roof pitch
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Total Sq. Ft of Construction: 2400 S . Ft. of First Floor: 1892
Cost of Construction: $ Utilities: _Sewer []Septic Building Height: 9
6720
OWNER/LESSEE _ CONTRACTOR: -..
Name Federal National Mortgage Assoc Name: Beatriz Gonzalez
Address:PO Box 650043 Company: BGS CONSTRUCTION GROUP INC
�Cy: DALLAS State:TX Address: 10118 VICKERS RIDGE DR
Zi-ltpCocle: 75265 Fax: City: ORLANDO State:FL
Phone No.407 402 9576 Zip Code: 32829 Fax:
E-Mail:TRISTATEWORKS@AOL.COM Phone No. 407 692 6766
Fill in fee simple Title Holder on next page if different E-Mail:
BGSC@YMAIL.COM
;from the Owner listed above) State or County License: CCC1328439
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPµLEMENTAL'CONSTRUCTION LIEN LAW-INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Federal National Mortgage Assoc Name:Beatriz Gonzalez
Ad d reSs:7508 PENSACOLA RD Address:
PO Box 650043
City: DALLAS State: City: ORLANDO State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:10118 VICKERS RIDGE DR 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.ILucie 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.
Thie 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. INY-O"n
end to obtain financing, consult with lender or an at y before
commencingwork 9r- r ' r Notice of Commencement.
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Signature of er/Les 6/Contractor as Agent for Owner Signature of Contr for Holder
STATE OF FLORI A STATE OF F RIDA
COUNTY OF COUNTY O
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
his 13 day of 00 200 by this 0 day of Dg 20LL by
32arri?_C76cT f�c;AAM 2 6-6 6,
Name of pers makin statement Name of persorymaking statement
(Personally Known .✓ OR oduced Identification Personall JK,nown t/ OR Produced Identification
Type of Idenrgt, 'j7, varez Type o Qetion varez
(Produced _�• �_ 19$429 Prod = 9
�: EX
ES: bruary 11,2019 0, Q11,2019
fill° WWW.AARO NOTARY.COM te'''n„°F,,;;���`� NNW. RONNOTARY.COM
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
1 COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
JDATE
'RECEIVED
;DATE
COMPLETED
R'ev. 8/2/17
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