HomeMy WebLinkAboutBuilding Permit Application C
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12G06M99d6 Permit Nu
�a
RECEIVED
Building Permit Application DEC 10 2.018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 I CQ U n ty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PIQFOSED iNiPROVEMENT LOCATIQN , . `. .3
Address: 906 Echo St, Fort Pierce, FI
Legal Description: WHITE CITY S/D 09 36 40 N 105 FTOF S 390 FT OF W 97.23 FT OF E 316.69 FT OF LOT 222(0.23 AC)(MAP 34/09S)(OR 1804-1206)
Property Tax ID#: 3403-502-0265-000-2 Lot No.
Site Plan Name: - Block No.
Project Name: Reroof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION tJF WORK
. ,.
Tear off existing roof and replace with Owens Corning product approval code #FL10674-R13 and
Tribuilt Peel and Stick product approval code #17116048-R6
CONSTRUCTI'iN IN`FORMATiONi�r' u
.yc.,, AP
.,., , :
itlon.awor to be performed under this permit—c1heck all appy:
HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
Electric ❑_Plumbing Sprinklers ❑Generator 10 Roof
Total Sq. Ft of Construction: 3,500 S . Ft.of First Floor:
Cost of Construction:$ 12,250.00 Utilities:n Sewer E]Septic Building Height:
OWNER
/LESSEE CONTRACTOR'
Name HSPS LLC Name: Richard A.Newland
Address:2409 SW Summit St Company: Richie the Roofer
City: Port Saint Lucie State:FL Address: 905 13th st sw
Zip Code: Fax: City: Vero Beach State:FL
Phone No.239-839-3858 Zip Code: 32962 Fax: 866-610-8652
E-Mail: Phone No. 772-464-4329
Fill in fee simple Title Holder on next page(if different E-Mail: richieroofer@yahoo.com
from the Owner listed above) State or County License: CGC 1512738
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
`SUPPSLEMENTAL C�NSTRUCTIQN ,LIEN .LAW INFQRMATICIN
X
DEStGNERjENGINEER: Not_ Applicable MORTGAGE COMPANY: Not Applicable
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.
Si ture of Owner/Lessee/Contractor as Agent for Owner ' nature of Contractor/License Halder
STATE OF FLOR STATE OF FLM*
` ,
COUNTY OF`�„ l� .� COUNTY OF_ l S 1
The fggrgoIng in. ent was ac nowledge before me The forgoing i ment was cknowiedge before me
this C P day o���20/kby this�i? day of(i j(,: 0�by
Name of person r
paking statement Name of,person making statement
Personally Known OR Produced Identification Personally Known L_—'OR Produced Identification
Type of identification Type of identification
Produced Produced
(Signature of Notary Public State of I (Signature of Notary Public-State
to SAts of Fipride
Commission No. � det�°►� Commission No. Notary Pubsic 3ence of Florida
MY Gomrniaion 0G 21t`?,r8
a P Sanderson
6r2�22 .r My Commission GG 211856
witssoAl2 +br++ expiraa04/25/2d22
wo
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
-COMPLETED
Rdv.8/2/17