HomeMy WebLinkAboutBuilding Permit Application ALL APPL BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8 19 Permit Number:
Mp.,
Building Permit Applicati n �
Planning and Development Services 019
5T: LU
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 artment
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Xst• Lucie county
TV!;
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED MRROVEMENT LOCATION:
Address: 8801 Jay Gardens Lane Ft Pierce, FL 34945
Legal Description: Jay Gardens-Ft Pierce BLK 6 Lot 6 (0.40 AC) (OR 2033-1253)
Property Tax ID#: 2311-601-0091-000-0 Lot No.6
Site Plan Name: Block No. 6
Project Name: Richards Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTJ-ON OF WORK:
Remove modified rolled roofing and replace with new modified rolled roofing
Flat DeckJA
CONSTRUCTION INQORIVIATION:
Additional work toe performed under this permit—check a appy:
❑HVAC Gas Tank Gas Piping _Shutters Windows/Doors
❑Electric 0 Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 500 S . Ft.of First Floor:
Cost of Construction:$ 3000 Utilities.
Sewer❑Septic Building Height: 8 Ft
OWNER/LESSEE; q CONTRACTOR:
Name David Richards Name: Jamie Cisco
Address:8801 Jay Gardens Lane Company: Sunshine Roofing, LLC
City: Ft Pierce State:FL Address: PO Box 1083
Zip Code: 34945 Fax: City: Palm City State:FL
Phone No.772-528-1417 Zip Code: 34991 Fax:
E-Mail:trichards623@yahoo.com Phone No. 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above) State or County License: CCC1327796
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION'.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:David Richards Name:Jamie Cisco
Address:8801 Jay Gardens Lane Ft Pierce,FL 34945 Address: 8801 Jay Gardens Lane
City: Fl Pierce State: City: Palm City State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:PO Box 1083 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
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/Lessee/Contractor as Agent for Owner Signature-of Contractor/License Holder
STATE OF FLORID STATE OF FLORI
COUNTY OF Ih COUNTY OF Y �'Z-
The for oing instru ent was a knowledged before me The forgoing instrur ent was acknowledged before me
this c day of 2074 by thissday of 20� by
- - �-�i '1�L^-✓{'�.5 \tel/-'�vY1ti1.P 1�9t3 ki
Name of person making statement Name of person Vking statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(S'gnatu a of Nggary 2 ublbc, tGi of-16.1prida) Sig ure of N aryWi -St a r
Y P , STACY SANTAGATA
0-jeNflary STACY SANTAGA A
Commission No _ LIMOry Public-State of ott ission No. Public-SlateoF rida
Commission#t GG 041 34 : Commission�GG 0 1 4My Comm.Expires Oct 24 2020 % ; � My Comm.Expires Oct 4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
_T
Rev.8/2/17