HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )
Date: Permit Number:_ 1901
__ _
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 TYPE: Re-roof shingle
PROPOSED I'N'PROVEMENT LOCATION:
Address. 6812 Frost Terrace Port Saint Lucie Fl.34952
Property Tax ID#: 3415-705-0018-000-6 Lot No. 17
Site Plan Name: Bryant Block No. 1
Project Name: Briant
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF SHINGLE AND UNDERLAYMENT
INSTALL NEW#30 FELT PAPER FOR UNDERLAYMENT
I
INSTALL NEW OWEN CORNING/DURATION/SHINGLE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof 5/12 Pitch
Total Sq. Ft of Construction: 3865 Sq. Ft.of First Floor: 3865
(Cost of Construction:$ 14,500 Utilities: —Sewer —Septic Building Height: 81
OWNER/LESSEE: CONTRACTOR:
NameDONALD P BRYANT Name:MAURICIO ORELLANA
Address:6812 FROST TERRACE Company:ONE CONSTRUCTION & ROOFING
City: PORT SAINT LUCIE State:_ Address:2766 SW EDGARCE ST
Zip Code: 34982 Fax:N/A City: PORT SAINT LUCIE State: FL
Phone No.410-241-0056 Zip Code: 34953 Fax: N/A
E-Mail:N/A Phone No772-519-2449
Fill in fee simple Title Holder on next page(if different E-Mail oneconstructionservices@yahoo.com
from the Owner listed above) State or County License CCC-1 330623
i
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIE-,N-1 A INFORIVIATION
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: z< Address:
City: e: City: State:
Zip: Phone Zip: Phone
FEE SIMPLE TITLE HOLDE _Not Applicable BONDING CO NY: Not Applicable
Name: Name:
Address: Address-
City: City:
Zip: Phone: Zi 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. of you intend to obtain financing,-consult with lender or an attorney befbfe
commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �Y L UZ COUNTY OF
The forgoing instrument was acknowledgedbefore me The forginstru�ment was acknowledge before me
this day of Al va 20-1 by th'jiiss�day of by
j Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known a@R Produced Identification
Type of Ide tificatione Type of Identification
ProducedV.12-1✓ , J Produced
LOX
O R L
(Signa r o Notary Public-St to of F _r da",) My COMMISSIC NWgrffi im f tary Pu 1 2 _FIW§4 Public-State of Florida
,m:�ge:. .'.
w��,., EXPIRES Decor far 97,2095 Q n eoe Commission#FF 995699
Commission No. lao($e:7 1"63 Flondallotary.m ission o. 1' �o �° My C�6val�xpires Sep 6,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.