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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED © �(n Date: �' Permit Number: (l RECEIVED Building Permit Application OCT 8 0 2018 Planning and Development Services ST. Lucie County,FjerMltifiltl Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 'PROPOSED'IMPROVEMENT LOCATION:- n Address: 5a Legal Description: n KiV9.,r '7Crk U Pl 11 q C;r� C. Property Tax lD#: 26919- 5 70 - 06S,3- PD c7-Co Lot No. Site Plan Name: Block No.meq_ Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK Qxislit?Ng Voa-C. at, iAsA)c 4_ card 'CONSTRUCTION-INFORMATION Additional work to fi orme un er t is permit-c ec a appy: HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors FlElectric 0 Plumbing Sprinklers ElGenerator ® Roof S �� Roof pitch Total Sq. Ft of Construction: 1-1N Sq. Ft.of First Floor: Cost of Construction:$ f/, �oO Utilities:MSewer Septic Building Height: ,OWNER/LESSEE.". ' CONTRACTOR: Name t' ` G Name: Address: Wil .LN• Company: TREASURE COAST ROOFING City: `1 ruf7�.5�c�,�.>>n State:6 Address: 1816 SW BILTMORE STREET Zip Code: L4 gA SLL Fax: d City: State:FL Phone No. 77a.- .320 C11e4Y Zip Code: 34984 Fax: 772-343-8358. E-Mail: Phone No. 772-370-9770 Fill in fee simple Title Holder on next page(if different E-Mail: TCROOFINGLLC@GMAIL.COM from the Owner listed above) State or County License: CCC1330653 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 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 BONDING COMPANY: _Not Applicable Name: Name: Address:1816 SW BILTMORE STREET 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 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. � v Signature o caner/Lessee/Co ractor ent for Owner Signat Contractor/ 'cense older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LCUIE COUNTY OF STLUCIE The f oing instrument w acknowledg d before me The forgoing instrument w s acknowledge before me this day of d 261by this day of 20 by BRIAN J MALONEY BRIAN J MALONEY Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (iignature of Nota Public-State of Florida) ( ignature of Notary ublic-State of Florida) Public State of Florid C mission N I ` `ti PubliC State of F s Commission Noj?�1 7 ° (DDebb6rah J Cacciatore =° ��(Deborah J Cacciatore My Commission GG 148734 . My Commission GG 1487 VOMd Expires 10/11/2021 Expires 10/11/2021 REVIEWS FRONT , ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17