HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO-BE ACCEPTED
Date: 8/21119 Permit Number: oZ )Ct\- Oro rJ�
-:�-�-�,� � ��-�- ---�� RECEIVE®
Building Permit Application JAN 2 9 ?0?..0
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof --
PROPOSED IMPROVEMENT LOCATION:
Address: 500 Sunrise Drive
Legal Description: TROPICAL ACRES BLK C LOTS 54,55,56 AND 57(2.73 AC)(OR 1564-2521)
Property Tax ID#: 2308-601-0221-000-1 Lot No.
Site Plan Name: Block No. C
Project Name: Parker Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTO.N'OF WORK: k
Remove existing shingle roof and replace with new 5V Metal roof
CONSTRUCTION INFORMATION: '
Additional work toe nertormed under tispermit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator Z Roof 412 Roof pitch
Total Sq. Ft of Construction: 30 Squares S Ft.of First Floor: 2,080
Cost of Construction:$ 14,000.00 Utilities:0Sewer 0Septic Building Height: 8 Ft
OWNER/LESSf E: CONTRACTOR:
Name Lisa Parker Name: Jamie Cisco
Address:500 Sunrise Drive Company: Sunshine Roofing, LLC
City: Fort Pierce State:FL Address: PO Box 1083
Zip Code: 34945 Fax: City: Palm City State:FL
Phone No.772-519-0811 Zip Code: 34991 Fax:
E-Mail:lisapug500@yahoo.com Phone No. 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above) State or County License: CCC1327796
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION 'LIEN'L°AW INFORMATION.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
N am e:Lisa Parker N a me:Jamie Cisco
Address:Soo sunrise Drive Address: 500 sunrise Drive
City: Fort Pierce State: City: Palm City State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:Po Box 1083 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.
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 thepermit 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 y�,i��peTty.A Notice of Commencement must be recorded and posted on the jobsite
before the firs ins fit "' If you intend to obtain financing, consult with lender or an attorney before
commenci vyor,I�or cording VoygMe of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of tractor/License Holder
STATE OF FLQRIDA - STATE OF FLO I A
COUNTY OF V`C1i,(�A COUNTY OF 1I�11�
The0_0X'rayof7T1A1'rfk1
g insment was acknowledged before me Th g in ent was acknowled ed before me
tl 20�by thiay of 20 by
Name of person making statementName of person ing statement
Personally Known OR Produced Identification Vl*" Personally Known k000 OR Produced Identification
Type of IdMTKication Type of Identification
Produced � VS Producetl
(Si (Sign u«;, o ary U13VIOt~Florida
JaiWE DYE ;: MY COMMISSION ik GG 939200
Co '1Ss' Edo. �(S 1) Com r11,2023(5 I)
EXPIRES:December 11,2023 gbF ' Bonded fiN Noma Pubiic UMervnlmt8
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17