HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -- Permit Number: V �V
1 RECEIVED
SEP'0 51019
Building Permit Application
Permitting®e`�artment
I.
Planning and Development Services ot, de azy
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: Roofing
,PROPOSED IIVLPROVEIVIE,NT;LOCATION,
Address: 4801 SILVER OAK DR �; 'tif �, FL 34982
Property Tax ID#: 3402-606-0192-000-5 Lot No. 37-38
Site Plan Name: SPENCER Block No. 26
Project Name: SPENCER
DETAILEb DESCRIPTION OF WORK
REMOVE AND REPLACE ROOF COVER
INSTALL NEW PEEL &STICK UNDERLAYMENT
INSTALL NEW OWEN CORNING SHINGLE/DURATION
CONSTRUCTION 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 �L Roof s f Pitch
Total Sq. Ft of Construction: 2965 Sq. Ft. of First Floor: 2665
Cost of Construction:$ 16,000 Utilities: —Sewer _Septic Building Height: 25'
OWNER/LESSEE CONTRACTOR
Name ADAM SPENCER Name:MAURICIO ORELLANA
Address: 4801 SILVER OAK DR Company:ONE CONSTRUCTION & ROOFING
City: PORT 5 T LUC:E State:_ Address: 2766 SW EDGARCE ST
Zip Code: 34982 Fax: City: PORT ST LUCIE FL State:
Phone No.954-563-7452 Zip Code: 34953 Fax:
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 License CCC- 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.
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: Stater 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.”
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF sTLUCIE
The%go.ing instp�uu e t was acknowledged before me The for�ing instrument was acknowledged before me
this day of Je e ,20A by this�day of _-C 20 AC by
�C
Name of person making statement. Name of person making statement.
Personally Known_V OR Produced Identification Personally Known ✓OR Produced Identification
Type of Identification Type of Identification
Produced Produced
•'{�v,���'�. FAUCET _n c, r I -•..��i-=�.;��
(Signature of Notary'P' j* =S tbtb1gfFfrtWjdZBI1ite of Florida I (Signature of Notary Ptiblicnn � of FIU0Jd0TyE BLAIR-ALEXANDER
ommissicn#` FF 995699 Notary Public-State of Florida j
Commission No`. Q Comm. Ex;jSea0ep 6,2020 i',- Commission No <<" w, Cor(,�l� #FF 995699
�' 4 J
y Comm.Expires Se 6,2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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