HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED pp��
Date: 12/18/17 Permit Number:
Building. Permit Application
Planning and Development Services
Building and Code Regulation Division
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2,300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772):462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
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'K /.. � v r - .t :tl 6 -F _. 4 L 'Tti. X SF"5 +f' Air✓ t f' i h '+. :
PROPOSED (MA�b,�`IMENT{LOCATION z f r f x t, ~t �,tf M
Address: 7903 Lockwood Dr, Fort Pierce FL 34951
Legal Description: LAKEWOOD PARK-UNIT 3-BLK 23 LOT21 (MAP 13/11S)
Property Tax ID#: 1301-603-198-000-2 Lot No.21
Site Plan Name: N/'4 i" Block No. 23
Project Name::Sedeno Roof
Setbacks Front Back: Right Side: Left Side:
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._DETAILED DESCRIPTI y N O'F WORIC� i n f -} >ys ;k a=T£ryf
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Remove and,replace existing shingle roof with New tamko Heritage Shingles over Tamko Moisture
Guard underlayment peel and seal
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A, itiona wor to .e e orme un er t is permit=c ec a appy:
HVAC _6as Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
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Total Sq. Ft of Construction: 2300S . Ft.of First Floor. 2952
Cost of Construction:$ 9375.00 Utilities: _[:]SewerFV Septic Building Height: 13
OUVNERf LESSEE
NameJose&Sandra Sedeno Name: Cameron Cooper
Address:1522'SW Apricot!Rd Company: Cameo Sales, Inc
City: Port St Lucie - State:FL Address: 12575 164th Ct, Jupiter, FL 33478
Zip Code: 34953 Fax: City: Jupiter State:FL
Phone No.772-742-1200 Zip Code: 33478 Fax:
E-Mail:Sand�a.Sedeno7@yahoo.com Phone No. 561-510-4581
Fill in fee simple Title Hol&'r on next page(if different E-Mail: camco19@bellsouth.net
from the Owner listed above) State or County License: ccc042804
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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�SlJiw'P¢LEM�ENTAL COISTRUCTIONiLIEN LA1N�-INFORMATION �, =�" -�� `< � �� �� s ,�� rk�
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: 1� Name:
Address_: � Address:
City: f State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY _Not Applicable
Name: Name:
Address:12575 164th Ct.Jupiter,FL 33478 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.
1 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.
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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.
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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 inspectio.`,r. If you intend to obtain financing, consult with lender or an attorney before
commencin ;.work or recordin our Notice-of Commencement.
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Signature of Owner/Lessee%Contractor as Agent forOwner Signature of Co ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF I4 COUNTY OF
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The forgoing instrument was acknowledged before me Theorgoing instr ent w s acknowledg before me
this day of �` 20_ by this day of C eu% � 20 , by
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Name of person making statement V Name of.person making statement
Personally Known !,OR Produced Identification Personally Known OR Produced Identification
Type of Identification p Type of Iden ' ica'ton
Produced '` Oro uced 1
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(Signature of'Notary Public;State of Florida) : tgnature of try Public-State of Florida
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Commission No. i (Seal) C mmission No CCA boC (Seal) RO
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REVIEWS FRONTI,` ZONING SUPERVISOR PLANS VEGETATIO OVE
COUNTER REVIEW REVIEW REVIEW REVIE :` VI�VI/Mo�° EVIEW
DATE
RECEIVED
mna•
DATE
COMPLETED
Rev.8/2/17 i.
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