HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INi FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�O 11 ' l lg Permit Number: 1 10 0�go
COUNTY RECEIVED
Building •
Permit Application 2 20N
Planning and Development Services
. Perm�trrn
Building and Code Regulation Divisions tu9 Q Co�n�y ent
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IIVIPROUEMENTLOCATION -
Address: 80 Flores del forte
Legal Description: Spanish lakes country club village leasehold estates
Property Tax ID#: 13 Ol hi-( Obi-el do/5 Lot No.
Site Pian Name: Block No.
Project Name: Bellegarde roof .
Setbacks Front Back: Right Side:. Left Side:
DETAILED DESCRIPTION OF WORK ,5f. s-.. .. ' N'
Replacement of,existing shingle roof with tamko heritage shingles 1YYdbbi -4-rmrie.
CO:NSTRUCTIO`N INFOI MATIO.N ..
Additional work to be ertormed under this permit—check all t apply:
0HVAC II Gas Tank ❑Gas Piping Shutters Q Windows/Doors
0 Electric El Plumbing Sprinklers EIGenerator El Roof g Roof pitch
Total Sq. Ft of Construction: I f5 O b S . Ft.of First Floor:
Cost of Construction:$ 6,800 Utilities: Sewer 1:1Septic Building Height:
i
OW I R%L'ESSE'E ` '
r,, i.•. ,,... .. :. . : .," ,3 CONTRACTOR:
NameTom Bellegarde Name: Cameron cooper j
Address:80 Flores del Norte Company: MCE
City: Fort Pierce State:Fl_ Address: 3141 se dominica ter ,
Zip.Code: 3495$ l _ l Fax: ,1 S i`t14 City: Stuart State:Fl
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Phone No. n " k9 " "1 �. Zip Code: 34997 Fax: 772-264-0254
Email:Tombellegarde123@icloud.com Phone No. 561-510-4581
Fill in fee simple Title Holder on next page(if different .E-Mail: Bigdogsery@gmail.com
from the Owner listed above) State or County License: CCC 042804
LnblUP0tNitIMAmttK: « NotApplicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:' State: Stata:
Zip: Phone Zip: Phone:
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�� ��������� _Not Applicable
FEESIMPLE TITLE HOLDER: Not Applicable BONDING x ou|icab\
e
I Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:Application is hereby made to obtain ape«mit tod the work nndinstallation*x indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie makes representationthat isgrantingpermitwillthepermit build thesubjectstructure
~ ^.^~'' mithany � b�Home � rules, ' mntxthat may[es�ictorprohibit such
structure. Please consult with Home Owners A�o�at��and ,evwyour deed for any restrictions which may apply.
|nconsideration orthe granting nfthis requested pennit,]doherebyagree that|will,|nall 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
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 f Commencement.
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Signature of Own- -ssee/Contractor as Agent for Owner Signaofture �o Uratfxenmoer
FLORIDASTATE �� i, »g6� � � OFFLORIDA /~ '���y1
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Type ofIdentification 11/
Type of|de»t0coti»
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION - SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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