HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDj 40
Date. AUG.20,2019 Permit Number: ` y
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Planning and Development Services St.<4ceo��ntn'ent
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: ROOF
Address: 7301 COQUINAAVE
Property Tax ID#: 1301-607-0093-100-9 Lot No. 16
Site Plan Name: SEC/TOWN/RANGE 02/34S/39E Block No. 73
Project Name: WAYNE SWEET
(NEW ROOF)TEAR OFF OLD AND INSTALL PEAL AND SEAL THEN 5V-METALAND TORCH
tfi dE t o,: "Gsar ! m 't. eX a 'c a e
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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 r Y Pitch
Total Sq. Ft of Construction: 3000 Sq. Ft.of First Floor- 3000
Cost of Construction:$ 13000.00 Utilities: —Sewer —Septic Building Height:
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Name WAYNE B. SWEET' Name: JOHN G.CANNON
Address: 7301 COQUINAAVE Company: JOHN G. CANNON j
City: FORT PIERCE State:I/ Address: 7901 CITRUS PARK BLVD
Zip Code: 34951 Fax: City: FORT PIERCE State: IF
Phone No. 304-389-8362 Zip Code: 34951 Fax: 772-468-0272
E-Mail: Phone No 772-468-0202 CELL 772=201-1771
Fill in fee simple Title Holder on next page(if different E-Mail jgcannonroof 9icloud.com
from the Owner listed above) State or County License CM 330664
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.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLEHOLDER: _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 1 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI YOUR NOTICE OF COMMENCEMENT."
igna re of Owner/Lessee/Contractor as Agent for Owner Signa re o on ctor/License older
STATE OF FLORIDA 5 STATE OF FLORIDA
COUNTY OFCJIJ� _ COUNTY OF -�e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowled ed before me
this may of 20 by this 11)day of — 20 9 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification 7 Type of Identification �y
Produced Produced
(Signature of Notary Publi - ELLEN HN (, nature of Nota Florida)
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W"I"N Pu lic ,,,,u�,,,,PUi SAYP4//Commission No. .S to f Florida Notary ELL.c( g9ission # GG 2700"t
mission No. _;� �_State of Florida ryioa�
.400,4F- My Commission20_II22t s ':� 11 Pm�e co
mmission Y Public
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r ctober 22, 2 2Pire^{
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE NGROVE
COUNTER; REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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ev.2-17119
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