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Building Permit Application
F All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: l / •V _u Building Permit Application aec�v�o Planning and Development Services Building and Code Regulation Division DEC 0 4 IN 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential mltting Department St,Lucie County- ,PERMIT TYPE: Roofing 'PROPOSED IMPROVEMENT LOCATION ' Address: 8294 Sandpine Circle Port Saint Lucie FI 34952 Property Tax ID#: 3426-703-0052-000-4 Lot No. 38 Site Plan Name: Dodge Block No. Project Name: Dodge DEaTAILED DESCRIPTION OF WORK.' Remove existing roof cover/shingle Install new peel &stick underlayment/tri built Install new Metal Roof/ 1" nail strip/26 gauge 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: 2200 Cost of Construction: $ 19,500 Utilities: —Sewer —Septic Building Height: 8' i.OWNER/LESSEE: CONTRACTOR: .. . Name Scott Dodge Name:Mauricio Orellana Address: 8294 Sandpine Circle Company:One Construction & Roofing City: Port Saint Lucie State:_ Address: 2766 sw Edgarce st Zip Code: 34952 Fax: City: Port St Lucie State: FI Phone No. :772-678-1814 Zip Code: 34953 Fax: E-Mail:N/A Phone No 772-240-9497 Fill in fee simple Title Holder on next page(if different E-Mail oneconstructionservices@yahoo.com from the Owner listed above) State or County License CCC- 1330623 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. A �� ,,� a^#:�s'�-� x �� ���`�= a $ -a''-•�k -s.. .: �a.,� z '� s�,, K � � +' R }, 's �. yarc"`� ' E t 1r 3 Y 'k ,�? 51PtL�MENTL}C�NSTRJTtf3NLlItL1UNOIVtATICit 4 �:xxixs € Vol ..Yet,.. DESIGNER/ENGINEER: x 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 M 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." nco&k. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID. STATE OF FLORIDA COUNTY OF f, L, � E COUNTY OF The fo,&oing instrument was acknowledged before me The for ing instrument was acknowledged before me this day of_Mee�����`�,20 by this lay of �,20 by Name of person making statement. Name of person making statement. Personally Known...". F OR Produced..lde_n_tif_i_c_ation Personally Known L- -'_0R Produced Identification Type of Identification Type of Identification 'Produced' ? _ n : � _ 4 _� Produced PAULETTE BLAIR-ALEXAIIDEP, f( Notary Public-State of Florida I( n AA,, Commis.Qommiqsinn is FF 9fd5f.. (Sighau e o'�0'd�a e��;dbliLiyS19t81o£.,gJbn&!1)6,2020 r;,, (Signature of Notary Pubic- to&_ ri 21, Commission No.- N (Seal) Commission No, _?, Tf[ ALEXARDER � s ( ��'r�o= t� t� y Pub is S atc of�=lorida Commission; IT 995699 f Comm.Expir s Sep b, Ulu .,, Y � REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI©:N� S A�TURTI&,o �#/�N.G-R0VE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19