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HomeMy WebLinkAboutBuilding Permit Application r FAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ©� 1 Permit Number: RECEIVED Building Permit Applicati n MAY 3 0 2019 Planning and Development Services Building and Code Regulation division ST. Lucie County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone-.'(772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT TYPE: Roof Pk'OPOSED IMPROVEMENT LOCATION A JJ.-_-_. 6811?WADQWOPTW Tr-PPA(-1= PnPT Ca WT I I I(`II- FA t -40r,i? MUU1Property Tax ID#: 3415-705-0031-000-3 Lot No. 30 Site Plan Name: GEIER Block No. 1 Project Name: GEIER PETALLED DESCRIPTION OF WORK: REMOVE EXISTING ROOF SHINGLE RE-NAIL PLYWWOD TO CURRENT CODE/INSTALL PEEL&STICK AS UNDERLAYMENT INSTALL NEW SHINGLE ROOF/OWEN CORNING/DURATION `CONSTRUCTIO'N'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: 1941 Sq. Ft.of First Floor: 1941 Cost of Construction:$ 15,000 Utilities: —Sewer _Septic Building Height: 8' OWNER/LESSEE :CONTRACTOR: Name WILLIAM J GEIER Name:MAURICIO ORELLANA Address:6819 WADSWORTH TERRACE Company:ONE CONSTRUCTION & ROOFING City:,,PORT SAINT LUCIE FL State:— Address:2766 SW EDGARCE ST rIlulic wu.- -- -- ---- u}i�-Uuc. -- ---- ran. Zip Code: 34952 Fax: City: PORT ST LUCIE State: FL E-Mail:N/A Phone No 772-240-9497 Fill in fee simple Title Holder on next page(if different E-Mail oneconstructionservices@yahoo.com from the Owner listed above) State or County LicenseCCC-1330623 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. DESIGNER/ENGINEER: ..-. ..Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: l Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HO _Not Applicable BONDING COMPANY: Not Applicable i�iarrte: 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 Countv makes no represenrtatieon that is granting a permit will authorize the permit holder to build the subject structure L ...L._L._._ __ L VVI... _ _ _ __..___�•_a Vvllll.11 ID 141 l.Vlll lll.l vVIl11 allx a}.IJAIR.a UIc 11VIIIc VVVIIGI.�llnntJUaLLL1111"MZ,uylavVJ Vl a11U l.V VGl lalllD tt—play ICOL(4.l VI }11 V11 WIL DUllI 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 eteac sris eae■ aanr ■leo crrr ®sraaear aenr xe��-a eeecaerraeease■ es gree a emr lr 1+ -r a ee>sa In ems rase a RRO-OM r rieeece ee a ■ VJ■LV V■■ ■■■L .IVY Jl■L Y6■V■tL ■■■L ■■■\J■ ■�\J■ Lam.■■V�\. ■■ ■VV ■�\■LI\V ■V VY■A■�\ ■■1■R■\�.■�■V� �.V�\JVD.■ WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 9A�� Ra_4_1�co (DaJ_� Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S \. L--\�_\V COUNTY OF S\ The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 204R1by thisclay of 20 by Name of person making statement. Name of person making statement. Personally Known L_---"6R Produced Identification Personally Known_I OR Produced Identification Type of Identification Type of Identification Produced - --- - - - _ Produced 1111114q PAULETTE BLAIR-ALEXANDER ' ,,lllllu,, = Notary Public State of Florida o�Pzr °ego, PAULETTE BLAIR-ALEXANDER tr d E)_? °" Notary Public-State of Florida (Signature of N }_ ;3 t g oEr ��Sep 6,2020 ' (Signature of No � "Qstat�6�'�ll�i'1r FF 995699 a •`, Co m.Expires Sep 6,2020 . Commission No. ea Commission No. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. I