Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICA LE INFO /MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. r Permit Number: on &F.Wos Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: Address: 1209 AUSTRALIAN AVE. Fort Pierce, FL 34982-6964 Legal Description: THE TROPICS REVISED (PB 6-21) BLK 3 LOTS 1, 2 AND 3 (0.42 AC) (OR 3929-2530) Property Tax ID #: 2433-801-0026-00013 Site Plan Name: Project Name: MASE, PETE Setbacks Front Back: Right Side: Left Side: Lot No. 1,2,3 Block No. 3 DETAILED DESCRIPTION OF WORK: I REMOVE EXISTING SHINGLE ROOF, INSTALL PEEL AND STICK UNDERLAYMENT, INSTALL NEW GAF SHINGLES. CONSTRUCTION INFORMATION: CONTRACTOR: Name MASE, PETE Name: BILLY POLLY Additional workto e er orme under LJHVAC If Gas Tank this permit —check ❑Gas Piping a app y: Shutters Windows/Doors Electric ElPlumbing Sprinklers E Generator Z Roof 2 Roof pitch Total Sq. Ft of Construction: tI S�Ft.j of First Floor: Cost of Construction: $ 14,300.00 Utilities: Ln1Sewer 0Septie Building Height: OWNER/LESSEE: CONTRACTOR: Name MASE, PETE Name: BILLY POLLY Address: Fort Pierce, FL 34982-6964 Company: BILCO ROOFING, INC. City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No. Address: City: SEBASTIAN State: FL Zip Code: 32958 Fax: Phone No. 772-453-6142 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailf)'I C_r,y_pA wi AC -2) VG _ State or County License: CC1326 72 If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name:. Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: , Not Applicable Name: BONDING COMPANY: Not Applicable 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 hoider 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 yo�g property_ A Notice of Commencement must be recorded and posted on the jobsite before the first in eclion. If you intend to obtain financing, consult with lender or an attorney before commencing work o rec —urXqtice of Commencement. Rev. 8/2/17 Signa a ontract /License Holder Signat see/Contractor as Agent for Owner STATE OF FLORIDA ++ COUNTY OF r STATE OF FLORID- �+ . i [f !I J COUNTY OF The forgoing instrurpent was ac+^knowledged before me �' The for oing instru ent was acknowledged fore me this li !' day of r e �2M be -r 20l by this/ day of / 20�y Na a of pets n making statementame of p son making statement Personally Known OR Produced Identification 11/ Personally Known OR Produced Identification Type of Identif ation Type of Iden do Produce Produced f�� { . na Public- S te. .fFdprida } 61 SEAN A TILL Igna ure o No ry Public- State f / 01 Public - state of Florid Commissio No. o�--iI a q`(`tee missionxGG241313 r� ti�ti*?;'' DENNIS L R©DRIGU mmissionNoGGiJ"�,ro� ;'_� agctaryPublic- State c`E My Comm- Expires Jul 24. 702 Commission !� GG 1571 My Comm Expires Dec 1; REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17