HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
' Date: 8/21/19 Permit Number: J
Building Permit Application � �
Planning and Development Services go
2300 Virginia Pierce
Building
Fort Piee FL 34982 Mmittode Regulation Divisi.on tn�ucl a Cou county
nt
fit,I�
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PR"4POSfD 1Mt-PROVEMENT LOCATION:
Address: 17120 Hammock Lane Ft Pierce, FL 34987
'Legal Description: Hidden Acres Blk A Lot 4 (2.77 AC)(OR 3560-852)
Property Tax ID#: 3211-811-0004-000-5 Lot No.4
Site Plan Name: Block No. A
Project Name:
Setbacks Front Back: Right Side: Left Side:
DERAILED DESCRIPTION � WORK-
77V, F
I
Remove shingle roof and replace with new 5V metal panels
4/12 �� 1�j• ��
e
CONSTRUCTION 114FORIUIANTION
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Additional work to be performed under this permit-check a app y
0HVAC: Gas Tank Gas Piping _Shutters Windows/Doors
El
Electric Plumbing Sprinklers F]Generator W] Roof /12 Roof pitch
Total Sq. Ft of Construction: 44 Squares S Ft.of First Floor: 2240
Cost of Construction:$ 18,700 Utilities:Sewer Septic Building Height: 8 Ft
OWNER/LESSEE. , t CONTRACTOR: . `
i Name Name: Jamie Cisco
{Address: 3 'P odNbh -,:)J1 Company: Sunshine Roofing, LLC
City:j2o AV'�rh1\ V�oD State:FL Address: PO Box 1083
Zip Code-J 3 Fax: City: Palm City State:FL
Phone Nosh nTr�(Q(0.-1 -9DU(p- Zip Code: 34991 Fax:
E-Mail: Phone No. 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofinglic@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.
i
SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:Jamie Cisco
Address:17120 Hammock Lane Ft Pierce,FL 34987 Address:
City: 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 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 jobsite
Ebefore the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencin work or recordiDg your Notice of Commencement.
s
S=EOF
Owner ssee Contractor as Agent for Owner Signature if t actor/License Holder
�Qo
SFLORIDA STA OF FLORIDA
COUNTY OF P1&A/My�,_ COUNTY OF . • �.
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this q day of 20J5 by this day of g j k k 20-ft by
Name of person making statement Name of person m king statement
Personally Known OR Produced Identification Personally Known i/ OR Produced Identification s
Type of Identification Type of Identification
Produced 1C� t�cy Produced
I <4)p,
(Si ure f ublic- t� ���lgrida) T
a of N a ic-State q, n a
STACY SANTAGATA
Commission No. ' , SI ry Public-State o1 F on No� . Seal) da
ommission M GG 041 My Comm.Expires Oct 24 'd fill )20.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17