HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Permit Number: 1
- RECEIVED
Building Permit Application NOV 2 9 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IM?PROVEMENT LOCATIC+N
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Address: 152 W Arbor Ave., Port St Lucie, FL 34952
Legal Description: RIVER PARK-UNIT 3-BLK 7 LOT 7(MAP 34/22S)
Property Tax ID#: 3419-515-0066-000-6 Lot No.7
Site Plan Name: Block No. 7
Project Name: 152 Arbor-PSL Reroof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIOWCIF WORK h
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CONSTRUCTION INEORIVIATIQNS
Additionalwork to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric Plumbing []Sprinklers Generator Roof 14/12 Roof pitch .
Total Sq. Ft of Construction: 1500 S . Ft.of First Floor: 976
Cost of Construction:$ 5,200.00, Utilities:T]Sewer 0 Septic Building Height: 12 ft
OVVNERJLESSEE CONTRACTOR
NameShadawood Properties LLC Name: John F Durham
Address:2651 S Indian River Dr Company: Durham Brothers, Inc.
City: Fort Pierce State: FIL Address: 1371 The 12th Fairway
Zip Code: 34950 Fax: City: Wellington State:FL
Phone No.(772)200-7763 Zip Code: 33414 Fax: (561)594-3547
E-Mail: Phone No. (561)315-1835
Fill in fee simple Title Holder on next page(if different E-Mail:johnfdurham@msn.com
from the Owner listed above) State or County License: CCC 1326757
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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: 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.
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Sign er Le see/Contractor as Agent for Owner Sig ture of Contractor/License Holder
STATE OF FLORJQ4 STATE OF FLORID�
COUNTY OF . �11✓��0� COUNTY OF � GCR0_
The fjoing instrument was acknowledge before me The forgoing instrument was acknowledged before mthisday of 20 by this day of'fJuv%a,A& 201 b by
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o LL Name of person making statement J.�, 2 Personally Known OR Produced Identi OnPersonally Known�OR Produced IdentifimType of Identification Type of Identification CO ProducedProducedW CU
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(Si of o ic-State of Florida) Z m (Signature of Notary Public-State of Florida)
Commission No. , ( (Seal) ;;mya•TM• doLL_ Commission No. (Seal -
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FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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