HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
Building Permit Application RECEIVED
Planning and Development Services SEP A
Building and Code Regulation Division 5 1018
2300 Virginia Avenue, Fort Pierce FL 34982 Per ng Department
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential St. uc►e County
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 607 Paurotis Lane Fort Pierce FI 34982
Legal Description: PALM GROVE S/D BLK L LOT 15
Property Tax ID#: 3410-503-0353-000-1 Lot No.15
Site Plan Name: GREENE Block No. L
Project Name: GREENE
Setbacks Front NIA Back: NIA Right Side: NIA Left Side: NIA
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE ROOF SHINGLE
- INSTALL NEW UNDERLAYMENT/ PEEL & STICK
- OWEN CORNING SHINGLE
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a appy:
HVAC �Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers 1:1 Generator Z Roof 2 Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 10,000 Utilities:z Sewer F]Septic Building Height: 8'
OWNER/LESSEE: CONTRACTOR:
Name CATHERINE G GREENE Name: MAURICIO ORELLANA
Address:607 Paurotis Lane Company: ONE CONSTRUCTION & ROOFING
City: FORT PIERCE State:FL Address: 2766 SW EDGARCE ST
Zip Code: 34982 Fax: City: PORT SAINT LUCIE State:FL
Phone No.772-812-2998 Zip Code: 34953 Fax:
E-Mail:N/A Phone No. 772-240-9497
Fill in fee simple Title Holder on next page(if different E-Mail: oneconstructionservices@yahoo.com
from the Owner listed above) State or County License: CCC- 1330623
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LI N LAW INFORMATION:
DESIGNER/ENGINEER: _N Applicable MORTGAGE COMPANY: ✓No pplicable
Name:CATHERINE G GREENE Name:MAURICIO ORELLANA
Address:607 Paurotis Lane Fort Pierce FI 2 Address: sol Paurotis Lane
City: FORT PIERCE State: City: PORT SAINT LUCIE State:
Zip: Phon Zip: Phone
FEE SIMPLE TITLE LDER: _ Not Applicable BONDING COMP Y: Not Applicable
Name: Dame:
Address: ARCEST Address:
City: City:
Zip: Phone: Zip: Phone:
OW R/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 work or recording our Notice of Commencement.
H rA4k"-_ 9,""Q- 'C� ��t6e�
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA �t�I� STATE OF FLORIDA
COUNTY OF Jf l COUNTY OF J l
The fgfgoing instrument ac l dg efore me The fi �ling instrumen was a knowledg efore me
this day of 20 by this ✓ day o 2C by
Name of persgn making statement Name of perso making statement
Personally Known �/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
�ANhn)v
wm('04I
(Signature of Notary Pu I 5 (Signature of Not ublic-St
IDALMIS SAGASTUME IDALMIS SAGASTUME
Commission No. M�SSION�FF998384 Commission No. M(r5M#uSSIONaFF998384
Exa�
EXPIRES:June,,.zozo I-{- EXPIRES:June n.zozo
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17