HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION,TO BE ACCEPTED; yy11.
Date: . Permit Number:
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- - y Building Permit Application 99-AON
Planning and Development Services 034T3J
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: Reroof
PROPOSED IMPROVEMENT LOCATION:
,4,,4—«- 119 Lobster Road
Property Tax ID #: 3419-560-0032-000-9 Lot No.
15
Site Plan Name: River Park Block No. 76
Project Name: Leonel Pineda &, Marta Bueso
DETAILED DESCRIPTION OF WORK: '
Remove & Replace asphalt Shingle Roof 8& Built-up, flat roofing system. .
Slope-shingle=1600 sq/ft
Flat roof section=800 sq/ft tag. igry v q L
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CONSTRUCTION INFORMATION:
Additional work to, be performed under this permit: —.check all that apply:
_Mechanical Gas Tank _ Gas Piping —Shutters ° Windows/Doors "..a
_ Electric _ Plumbing;_ :} Sprinklers — Generator V/Roofi... s ' 3/12itch-
s /s • I b
Total Sq. Ft of Construction: 2400 qft � O° Sq. Ft. of First Floor:
Cost of Construction: $ 13,500 Utilities: —Sewer _Septic Building Height: 12'
011VNER%LESSEE : a
_ ..... .
CONTRACTOR::
Name Marta Bue fo & Leonel Pineda
Name Paul: Basmajian ,�1' '
Address:230 Suydam.Street Apt 3R
Company: Caribbean Construction Service; LLC • .
City: Brooklyn State: _ ,
Address:4859 NE 12th Ave
Zip Code: 11237 Fax:
City: Oakland Park State: FL
Phone No.772-418-1983
Zip Code: 33334 Fax:
E-Mail:marta lidial@live.com
Phone No91.7-617-4249
Fill in fee simple Title Holder on next page (if different
E-Mail p9bas47@gmail.com
State or County LicenseCCC1332157
from the Owner listed above)
If value of construction is $2500 or,more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,560 or more, a RECORDED Notice of Commencement is required.
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
Name: -
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 l 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 JOP SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDEWOR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of caner/ essee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ia.r1'r lAolJif
STATE OF FLORIDA'
COUNTY OF �rAAJI L_ V
The forg9ing instrument was acknowledged before me
this 4e day of %udl/. , 20d by
The for p, instrument was acknowledged before me
this day of /JO(/. 20/ 9 by
uw,6 L
Name of person makingstatement.
Name.of pert son.making satement.
Personally Known V OR Produced Identification
Personally. Known, V OR Produced Identification
Type of Identification
Produced RALPH PAULA
Commission # GG 910987
N� aQ Expires October 6, 2023
Bonded ThruBudget Notary SoMoes
Type of Identification:
Produced �,a :P;'� RALPH PAULA
Commission # GG 91098
v Expires October 6, 2023
-/� __ f(Q... I., •�BondedThiuBudgetNotaryServloo
(Signatu a of Notary Public —State of Florida)
(Signature of Notary Public -State of Florida
Commission No: (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE,
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW,
REVIEW
DATE
RECEIVED
_DATE
COMPLETED
Rev. 2/7/19