HomeMy WebLinkAboutBuilding Permit Application !
All APPLICABLE INFO MUST BEECCOMPLETED FOR APPLICATION TO BE ACCEPTED �1
Date: �� � r 2_ � Permit Number: 00I 'og5o
RECEIVED
m JAN 2 21010
._., - Building Permit Application Permitting Department'
Planning and Development Services St. Lucie County
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:
Re-roof
PROPOSED IMPROVEMENT;LOCATION:,
Address: 1205 Country Garden LN, Fort Pierce FI 34982
Property Tax ID#:
3403-502-0231-000-5 Lot No.213
Site PlarName: For Legal description please see included St Lucie county property YaPPraiser
Block No. I
Project Name: 1205 Country Garden LN,
DESCRIPTION ODETAILEQOR
,
Re-roof Slope roof with 1 inch Nailstrip 26 ga metal roof panel system
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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
Electric
_Plumbing _Sprinklers _Generator Roof itch
Total Sq. Ft of Construction: d—� 00 Sq. Ft.of First Floor: 1469 I
Cost of Construction:$ Utilities: _Sewer _Septic Building Height: _'
01NNER/LESSEE __ CONTRACTOR: f
o
i .
Name Isabel Martinez Name:John F. Durham j
Address:1205 Country Gardens LN Company:Durham Brothers Inc
City: Fort Pierce State:_ Address:15897 62nd PI N
Zip Code: 34982 Fax: City: Loxahatchee State:FI
Phone No. Zip Code: 33470 Fax: (561) 5943547
E-Mail: Phone No(561) 315-1835
Fill in fee simple Title Holder on next page(if different E-Mail johnfdurham@msn.com
rom the Owner listed above) State or County License CCC1326757
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onstruction is$2500 or more,a RECORDED Notice of Commencement is required.
of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
Sl'JPPLLEMENTAL C�NSTRtl1CTlON LI N LAW fNFO �MAT!{?�N � �� �'�� ��.� F.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE;COMPANY: _Not Applicable
Name: Name:
Address: Address: I
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:
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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[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 QRature of Cont cto4-/License Holder
STATE OF FLORIDA Sl STATE OF FLORIDA
COUNTY OF 1.t�c�P COUNTY OF H n r f� n
The fo�r ^ng instrument was acknowled ed before me The forgoing instr ment was acknowledged before me
this I � ng
of 3')1�'VQF'1V( , 20& by this 2Jr'day of 4g 20Zo by
Name of person making statement. Name of person making statement.
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Personally Known OR Produced Identification Personally Known L1_111�OR Produced Identification
Type of Iden *f* a ionType of Identification
Produced I J L
Produced
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(Si o No ry Pu oState of Florida (Signature of Notary Public-State of Florida-)-
_ C7Commission#GG 206912 �'z
Commission No. Myc Oxpires Apr.16,2022 Commission No. C4-6r (Seal) a
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REVIEWS FRONT ZONING SUPERVISOR PLANS ,VEGETATION SEA TURTLE MAN ��-,,,, P•
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW RE
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