HomeMy WebLinkAboutBuilding Pemit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date:��'�—�>— l�1 Permit Number:
Building Permit Applicatirm ,
Planning and Development Services S�'zee/o 1Q1�
Building and Code Regulation Division G�:POeod
2300 Virginia Avenue, Fort Pierce FL 34982 CIO 6
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: Roofing
PROPOSED IMPROV_EM NT LOCATION;:
-K .» .
Address: 6804 Thoreau Terrace Port St Lucie FI 34952
Property Tax ID#: 3415-705-0025-000-8 Lot No. 24
Site Plan Name: PSL Block No. 1
Project Name: PSL
DETAILED DESCRIPTION OF MORK r
Remove existing roof underlayment and shingle >
Install new underlayment Peel &stick
Install new shingle Owen Corning/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 _Roof 5/12 Pitch
Total Sq. Ft of Construction: 2600 Sq. Ft. of First Floor: 2600 j
Cost of Construction:$ 14,000 Utilities: —Sewer _Septic Building Height: 8'
OWNER/LESSEE CONTRACTOR
NameJohn Mccarry Name:Mau'ricio orellana
Address:6804 thoreau Terrace Company:One Construction & Roofing contractors j
City: Port Saint Lucie State:— Address: 2766 sw Edgarce st
Zip Code: 34952 " Fax: City: Port St Lucie State: Fl
Phone No.772-240-9497 Zip Code: 34953 Fax: N/A
E-Mail: Phone No 772-240-9497
Fill in fee simple Title Holder on next page(if different E-Mail onec,onstructionservices@yahoo.com
from the Owner listed above) State or County License CCC-1330623
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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5a11'PPLEMENT #L C�NSI`R'IJCl'I"®NL( N LAW 1NF0RMATIQIv
DESIGNER/ENGINEER: x_ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: i
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLD 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."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
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STATE OF FLORIDA STATE OF FLORID+
COUNTY OF `�`r C� COUNTY OF A
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The forgoing instrument was acknowledged before me The for oing instrumer�t was acknowl edggd before me
this G1 day of �C� 20Aq by this OI ay of �- 20 y by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification_
Produced 0 Ir L• C' Pr duced b 1�
(Signature :w ate(Sign u e of Notary it��a of Notar b1''i- ofeSflora_
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Commission No. r A ': �`f Y COU ISS QN#FF925171 !O +�P FF9251 M
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 217119
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