HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: 9 - I,C) - 19- Permit Number:
RECEIVED
• - SEP 10 2019
- - Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 "
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X t
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION: f
Address: 6816 Thoreau Terr Port St Lucie, FL 34952
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Property Tax ID#: 3415-705-0028-000-9 Lot No.27 11
Site Plan Name: OLEANDER PINES Block No. 1
Project Name: Lipman
DETAILED DESCRIPTION OF WORK: I'
ROOF REPLACEMENT �� f
1 I(15��� t✓p� Q-�S C�� t �- � ��
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply: !
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors I
_Electric _Plumbing _Sprinklers _Generator ✓Roof 5112 Pitch
Total Sq. Ft of Construction: 3800 Sq. Ft.of First Floor:
Cost of Construction:$ k -t , 000 Utilities: —Sewer _Septic Building Height: 12
OWNER/LESSEE: CONTRACTOR:
Name J I i iq 0 Gan Name:FRANK LEO
Address: Company:LEO ROOFING AND CONSTRUCTION
City: State:' Address:3804 BURNS RD., Suite D
Zip Code: 3 45 Fax: City: Palm Beach Gardens State:FL
Phone No. 7-72 fe-AtSM tS Zip Code: 33410 Fax: 561-935-9337
E-Mail: .O(Y) Phone No 561-935-4979
Fill in fee simple Title Holder on next age(if different E-Mail leodevelopment@bellsouth.net
from the Owner listed above) State or County License CCC1328402
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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 JO SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDEWORIAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owne Less Contr ctor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLOSTATE OF FLOR��B�AA
COUNTY OFfftnc� JCOUNTY OF
The forgoing instr nt wa acknowledge efore me The forgoing instr ent w s acknowledge efore me
thi day of 20 by this sZ day of 207O- by
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Name o person qaking sta ement. Name of person making statement.
Personally Known L-OR Produced Identification Personally Known_' OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary P - t e f o ' ) (Signature of Notary Public-State of FI rid )
:''i►�r'�e'•., C LE SAWYER �a
Commission No. =?° �� Notary &oI)State of Florida Commission No. q�(�'ER
tary ublica`fe'of Florida
A ' omm FxpirpS gep-22,202
My Comm.Commission#GG Exp s Sep 2292020 �� M Commission q GG 32898
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fjon e roup ati nalNotary Assn. 8 nded through National otary Assn.
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DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19