Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/02/2018 Permit Number: Isla- 0011 p.ECEIVED � 1 . Building Permit Application DEC 03 2018 Planning and Development Services Permitting Department Building and Code Regulation Division St.Lucie county IN 11111111_1141_�_ 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x I ;PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PRQPOSE© IMiPR®VEMENT LOCATION• Address: 5936 Alexandria Circle Fort Pierce, FL 34982 Legal Description: Palm Grove S/D Blk J Lot 2 Property Tax.ID#: 341050302540007 Lot No. Site Plan Name: Block No. Project Name: !Setbacks Front Back: Right Side: Left Side: ®ET' 11: E® TI©N Q' 111J©f2IC: F Re-roof shingle to shingle SO Fc) t S112- f t�c k C©N�TRIJCTI®'N INFORMATt�N: ,Additional itiona work to e e orme under this permit—c ec a appy: HVAC Gas Tank . Gas Piping _Shutters a Windows/Doors iEl Electric 0 Plumbing Sprinklers Generator Roof ® Roof pitch Total Sq. Ft of Construction: aS c-� Sq. Ft.of First Floor: Cost of Construction:$ 10,550.00 Utilities: _Sewer E]Septic Building Height: C�NTRACI"t7`R: Name Betty Bennett Name: Roland Wiley 'Address:5936 Alexandria Circle Company: Shoreline Roofing 'City: Fort Pierce State:FL Address: 1973 SW Glendale St. I Zip Code: 34982 Fax: City: Port Saint Lucie State:FL Phone No.772-465-6325 Zip Code: 34987 Fax: E-Mail: Phone No. 772-260-9565 Fill in fee simple Title Holder on next page(if different E-Mail: shorelineroofing@yahoo.com from the Owner listed above) State or County License: CCC If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i i Sl1+PFLEMEN AI INN TION LIE LAW IN�URIUTATIC?N: 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:1973 SW Glendale St. 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 befor a irst inspection. If you intend to obtain financing, consult with lender or an attorney before comirrienciog,w9l4or recording our Notice of Commencement I Signat re of Owner/Lessee/ ctor gent for Owner Signature of Contractor/License Hold STATE OF FLORIDA(�f�� STATE OF FLORI COUNTY OF COUNTY OF Q The for oing instnowledgbefore me The rgping ins ent wa acknowledg,before me this�C day of 20� by this U1 day of " 20i by Wand U Name of perso makl4 statement Name of per n ma i g statement Personally Known OR Produced Identification Personally Known 0 Produced Identification Type of Identification Type of Identification Produced Produced C4 ffyjN_�I (Signature 00tary Public-State of Florida) (Signature(J Notary Public-State of Florida) •�p Rli Po, BRANDY MO RE q 1►�;;?Ue� BRANDY MOORE Commission No. 1028 9 Cammlaelon#GG �g+8}ymission No.� 10283 1� ea�� mmleslon#GG 1028 9 %A � dnndodtlres are 9u aoy9.N q OooM000 �f`21 Expires May 8,2021 OFF _0116,4�' inl1twBudgdWri dW I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17