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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1/�/19 -Date: Number: IRECEIVED JAN 1 8 2019 } Building Permit Applica *pnucie N Planning and Development Services CounCounty, Permittl g Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 ✓ Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: Re-Roof y T 4 i?`ROPOSED 1NPR,�,�EMEN7"��QCATI© !` Address: 9 Bueno's Aires Ft Pierce OP�(SL (? d Property Tax ID#: -€� 0 '`J� Lot No. Site Plan Name: l5?-,- I u� ! Block No. Project Name: Stroud Take off Shingles install new Shingles (L+d aL eft kkAt-� �_ _ r F'L IDS -KI dart ,LdI 4mar?SJ V g CL,QMV1d owl Et )STRUCT4NIt ©RMATIaN � _L'. ... ,t., 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 3/12 Pitch Total Sq. Ft of Construction: 15 Sq. Ft. of First Floor: 1500 Cost of Construction:$ 5,500.00 Utilities: —Sewer .—Septic Building Height: OIINER/LESSI=E z CQNT,RACTOR z _.r .. ,., ,.._ ...o, .,.t..3 s . :Y_ r. .,r._2 __..i= ,. =.r :'.:•f 43 ...a... 6: 2 � Name Kathy and Paul Stroud Name:William Lasky Jr. Address:9 Buenos Aires Company:Atlantic Roofing II of Vero Beach Inc. City: Ft Pierce State:_ Address:4310 45th St Zip Code: 34951 Fax: City: Vero Beach State:FI Phone No.812-675-6183 Zip Code: 32967 Fax: 772-257-5740 E-Mail:stroudp@frontier.com Phone No 772-492-8493 Fill in fee simple Title Holder on next page(if different E-Mail wljatr@aol.co, from the Owner listed above) State or County License CCC1326188 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. Ss- 5tJPPLEi1i�EN AI_�ONSTI UCTION LI I lAU1! INF-ORMATTIC?N} DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name:n/a Name:n/a 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. Signature of Owner/Lrssee/Contrvlfr as Agent for Owner Signa re of Contractor/License Holder STATE OF FLORIDASTATE OF FLQB,IDA " COUNTY OF _j 04I fil1tiF/1 COUNTY OF. I�nAf." Thefor joing instrument was acknowledged before me The for oing instru nt was acknowledged before me this_day of \IS+� 20 Lt by this �� day of 20A by Name of person making st ement. Name of person making s ement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced r ( ignatur of Notary Public-St tur o otary Public-St tw_=fAY tdVT ?�,! c; D BORAH L.AUSTIN Commission#GG 165615 Commission No. _: r,,m fission#GG 165615 =;� oPo �January6,2022 �(D +, Po S�df Com fission No. S aF�� Troy Fain Insurance X019 Expires January 6,2022 Bonded ihru Troy Fain Insurance 80 385.7019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 8