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HomeMy WebLinkAboutBuilding Permit application X. S;URPL lvl A, CONSTt2UCTtON LIEN LAW INFORMATION DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: X 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 O fyE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y fR VNDER OR AN ATTORNEY BEFORE RECORDING YOUR NO F COMMENCEMENT." t i Signature of Owherf Lessee/Contractor as caner Sign re of Contrac icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF INDIAN RIVER COUNTY OF INDIAN RIVER The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 27 day of SEPTEMBER 20A by this 27 day of SEPTEMBER 20�tg by LEE DINENBERG LEE DINENSERG Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced me_Q�4( ,j� 6" (Signature of Notary Publi (Signature of Notary Public t f lorida ,•ti�ayPQs', ANNETTE CGROAY GG076355 =2.� ',°C- NStaryPublic-StateofFlorida GGo7s355 �'osi�': ANNETTEMCGRCRY Commission No. t ( CAissionk00076355 Commission No. =2. t(�E?Ablic-State of Florida My Comm.Expires Feb 23,2021 '+ Commission N GG 016355 "tOF,�:�•'• Bonded through National Notary Assn. %y�' vP= My Comm.Expires Feb 23,2021 Uonded t rough Nat onal NotaryAssn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION E COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED iev. 2/7/19 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I V D© Date: 9/27/19 Permit Number ct W-1 V,"VED . OCT 1 2019 n Building Permit Applic tO nitting Department Planning and Development Services St. Lucie Count FL Building and Code Regulation Division yr 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMITTYPE: REROOF PROPOSED INiP.R0VEMENT L0"CATIfJ(V Address: 356 BARRACLOUGH STREET, FT. PIERCE, FL 34982 Property Tax ID#: 3403-802-0026-000-6 Lot No.14 Site Plan Name: MATT SANSONE Block No. 2 Project Name: REROOF DETAILED DESCRIPTION C+F WORK TAKE EXISTING FLAT ROOF OFF AND REPLACE WITH NEW FLAT ROOF f 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 V/Roof FLAT Pitch Total Sq. Ft of Construction: 2,061 Sq. Ft. of First Floor: Cost of Construction:$ 11,100 Utilities: —Sewer —septic Building Height: DWNE13/,LESSEE CONTRACTCIR y Name MATT SANSONE Name:LEE DINENBERG Address:356 BARRACLOUGH STREET Company:FREEDOM ROOFERS City: FT. PIERCE State: FL Address:5575 US HWY 1, SUITES 1 &2 Zip Code: 34982 Fax: City: VERO BEACH State:FL Phone No.772-678-5718 Zip Code: 32967 Fax: 772-217-4459 E-Mail: Phone No772-318-4600 Fill in fee simple Title Holder on next page(if different E-Mail greatroofs@freedomroofers.com from the Owner listed above) State or County LicenseCCC1330900 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.