HomeMy WebLinkAboutBuilding Permit Application I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
W fa
ill��h
Building Permit Application
Planning and DevelopmentServices
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-ROOFING
k
PfiOPQSED 111(1MWMENT LOCl�TIQ-IV;;
Address: 5506 PALM DR. FORT PIERCE, FL -
Property Tax ID#: 3402 609 0149 000 8 Lot No.11
Site Plan Name: Block No. 56
roject Name- 5506 PALM DR.
SRI
DTAIL �D� PTION OF W
ORKfr
. e, u ..
REMOVE AND REPLACE ROOF SHINGLE, DRY IN PEEL AND STICK, NEW TAMKO HERITAGE SHINGLE
I
QNfSTRUC�TIQNINFORMATIQIV
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 Pitch
Total Sq. Ft of Construction: 3725 Sq. Ft. of First Floor: 3725
Cost of Construction:$ 9500. Utilities: _Sewer _Septic Building Height: 12 FT
QWI�R/JESSE E ' CONT`RACTO'R '
Name US BANK NA(TR) Name:ALBERTO MUNOZ
Address:13801 WIRELESS WAY Company:CONFORT BUILDERS, LLC
City: IKLAHOMA CITY , State:_ Address:393 NW STRATFORD LN
Zip Code: 73134 Fax: City: PORT ST LUCIE State:FL
Phone No. Zip Code: 34983 Fax:
E-Mail: Phone No 772 224 9110
Fill in fee simple Title Holder on next page(if different E-Mail COBUILDERS1 5@YAHOO.COM
from the Owner listed above) State or County LicenseCCC1328737
;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.
I
1
SUPPLM�NAL'C�NSTRUCTfON l l> N LAW INFQRMATION,
.. ...� w. �x„x, _. .. ...., „ ;&
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
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 thepermit 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
ii 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDERQR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMME CEMENT.”
Signa u e of Ow er/ essee/Contractor as Agent for Owner tignature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF `, .zss, . COUNTY OF . err
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day oVYV Qa9 20j5_ by this day of fti-X.IA. 1 2019_ by
Q��,�—" M-1-1 ,,, a �� 19.612� A- ,,AA,
Name of person making statement. Name of person making statemen .
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(YgnJture of Notary Public-State of Florida) (Signature of Nota P,: ''••sta
ING
Commission No. �V �,,, ommission No. �.• = ��MI I� .G27M5Q8p
,,. LA INGRAM•RAHMING IRES:Dere moo,2022
MY COMMISSION#GG 27NO B0' 7Mi NomrY Public U
•�,,,f .Ol,..•'
REVIEWS FRO CFPqrnxumm t PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19