HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date::12/17/2018 Permit Num �•
DECEIVE®
Building Permit Applicatior DEC 17 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOS.ED,IMP�ROV,EMENT.LQCATION � � � =�
Address: 791 SE Solaz Ave, Port St.Lucie
Legal Description: River Park-Unit 6-BLK 58 Lot 20(map34/28s)(or3927-1601)
Property Tax ID#: 3419-545-0058-000-0 Lot No.20
Site Plan Name: Block No. 58
Project Name: Charles Cooke
I
Setbacks Front Back: Right Side: Left Side:
DETAlLED'.DESCRIPTION OF WORK }s rt r ;4
Reroof Garage
Tear off existing roof down to decking, renail to code using 8D ring shank nails. Supply and install fully
adhered underlayment. Supply and install new shingle roof
CONSTRUCTION INFORMATION:.
,., ,
Aciclltlonal work toe nprtormed unclertMis permit—check all t=appIV: r
HVAC 0 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric F-1PlumbingSprinklers E]Generator R1 Roof Roof pitch
Total Sq. Ft of Construction: 476 Sq. Ft. of First Floor:
Cost of Construction:$ 2600 Utilities: Sewer aSeptic Building Height: 15
OWNER/LESSEE: ,CONTRACTOR '_:
Name Charles Cooke Name: Richard V Colletti
Address:791 SE Solaz Ave Company: Leakbusters Roof Repair LLC
City: Port Saint Lucie State:FL Address: 6101 Buchanan Drive
Zip Code: 34983 Fax: City: Fort Pierce State:FL
Phone No.772-812-3040 Zip Code: 34982 Fax:
E-Mail:Richiecolletti@gmail.com Phone No. 772-332-8450
Fill in fee simple Title Holder on next page(if different E-Mail: Richiecollefti@gmaii.com
from the Owner listed above) State or County License: CCC1330976
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: w State:
Zip Phone Zip: Phone:
FEE SIMPLE TITLE.HOLDER: _Not Applicable BONDING COMPANY:. —Not Applicable
Name: Name:
Address:8101 Bu0hananD&- 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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.Si nature of Owner/Lessee ontra'ct&.as Agent for Owner Signature.of Contractor/�Ucense Holder
STATE OF FLORID + l � STATE OF COUNTY OF FLORID � I' )(a
COUNTY OF. � I � . �
The f oing in ment was acknowledged before me The for g in ment.was acknowledgetrfore me
this T7 day ��!' 20 by this _ay of l Y1 :r,20 .y
I. 1 t\:
Name�perso aking-statement J Name of pe,esp6makihg statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced. Produced
(Si atu of otary Public-Stat a of Notary Public- ita f,F or'd A ERINE HAVENS
nC DB
KATHERINE HAVENS P%11 v MYCOMMISSION#GG165030
Commission No. VJ 26ROMMISSION#GG16503 ommission No. p(AR*EC04,2021
D(PIRES;DEC 04,202f lirf Bondedthrough1st State InsuranceCP
onded through 1st SUB Insuran
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE'
RECOVED
DATE
COMPLETED
Rev.8/2/17