HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date: Permit Number:
RECEIVED
i o
Building Permit Application Nov. 05 2018
! Planning and Development Services Permitting Department
Building and Code Regulation Division st. Lucie County
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
P'ROPOSEp1MPROVEIVIEIVT LOCATI'O"N,
Address: 25 Monterey Way, Port St.Lucie, FL 34952
Legal Description: Double Wide Modular Mobile Home
Property Tax ID#: Lot No.
'Site Plan Name: Block No.
Project Name:
Setbacks Front 32 Back: 29 Right Side: 26 Left Side: 12
DETAILED DESCRIPTION OF\NORK:.-
Remove 3 tab shingle roofing and felt and replace with 30# felt underlay (Tri F 30# Felt ASTM 226)
and 3 tab shingle roofing (BDL GAF SA ROY SOV AT SG SANDRIFT)
CONSTRUCTION INFORMATI ,N
Additional work to be nertormed under tispermit—check all appy:
HVAC Gas Tank []Gas Piping Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers ❑Generator Z Roof 2 Roof pitch
Total Sq. Ft of Construction: 1792 Sq. Ft.of First Floor: 1736
Cost of Construction:$ 2,804.23 Utilities: vSewer Septic Building Height: 12"
,OWN ESR/LESSEE: CONTRACTOR:
Name Dianne B Aguiar Name:
'Address:25 Monterey way Company:
p Y:
City: Port St.Lucie State:FL Address:
Zip Code: 34952 Fax: City: State:
Phone No.772-359-7656 Zip Code: Fax:
E-Mail:apdianne@aol.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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: 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 thepermit 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.
Signature of Owner/Lessee/Co ractor as Agent for Owner Signature of Contractor/License Holder
STATE OFTLORIDA STATE OF FLORIDA
COUNTY OF S Ain i COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this S day
l�of^ 200 1$ by this day of ,20_ by
Name of person making s atement Name of person making statement
Personally Known OR Produced Ide tif'i� � Personally Known OR Produced Identification
Produced Type of Identification c.s� `*`\������T��•• Produced pe of Identification
(Signa re of Notary Public-State ofd�1rt• ) fir (Signature of Notary Public-State of Florida)
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0,
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Commission No.
� •�!•�� Commission No. (Seal)
q 1 N�11ej,��680
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17