HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'l.'dl��a,;b Permit Number:
• RECEIVED
Building Permit Applicat on
Planning and Development Services JAN 2 9 X020
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residen la
PERMIT TYPE: Roofing - sV,
PROPOSED,I;MPROVEMENTaLOCATION:
Address: 5700 SUNSET BLVD FORT PIERCE FL 34982
Property Tax ID#: 3402-609-0481-000-7 Lot No. 3
Site Plan Name: INDIAN RIVER ESTATES Block No. 65
Project Name: COLE
DETAILED DESCRIPTION OF,WORK
r
REMOVE EXISTING ROOF UNDERLAYMENT AND SHINGLE
RE-NAIL EXTING PLYWOOD TO CODE AND INSTALL NEW PEEL&STICK UNDERLAYMENT
INSTALL NEW TAMKO SHINGLE
CONSTRUCTION fNFORMATION:
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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 4/12 Pitch
Total Sq. Ft of Construction: 1500 Sq. Ft. of First Floor: 1500
Cost of Construction:$ 9,000 Utilities: —Sewer _Septic Building Height: 8.
OWNER/LESSEE" s CONTRACTOR:
Name DONALD E COLE Name:MAURICIO ORELLANA
Address:5700 SUNSET BLV Company:ONE CONSTRUCTION&ROOFING CONTRACTORS
City: FORT PIERCE State:_ Address: 2766 SW EDGARCE ST
Zip Code: 34982 Fax: City: PORT ST LUCIE State:FL
Phone No.772-7830056 Zip Code: 34953 Fax:
E-Mail:NSA 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.
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DESIGNER/ENGINEER: XX Not Applicable a 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
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
STATE OF FLORIDA Lcl�1 e STATE OF FLORID
3
COUNTY OF COUNTY OF S - JG
The for oing instrument was acknowledged before me The forgoing instrument was acknowledge before me
this `Z day of�_ 8L••uG ,2010 by this jA day of S vg� 20 , by
�(j i ujC (J A0-it% Ci 0
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifica 'on , �Nlllllll Type of Identificati
Pr d u c d ,d ARN . � R GQ 'q�i�� P rod u c d IWA Y 1'� \\\�\\\\\ _1t GOM�/����i
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(Signature of Notary Public- to of 2aSignature of Notary Public-S ate of FI-' a)
2:•o iIGG 926545 = : #W 926545
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Commission No. �Z�i4� die �}jA,0,7d,dn ear,".oQo SCommission No �*o„ded de�a�.�•p�
1111111 1110NNW // /I ST ��ii`N
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE AAWVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19