HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / � �l1
Date: 1 - 31 - ZoZo Permit Numbert/1 of
RECEIVED
- Building Permit Application JAN 31 2020
Planning and Development Services Permltting Department
Building and Code Regulation Division St.Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 commercial Residential ✓
PERMIT TYPE: Re-roo�
PROPOSED IMPROVEMENT LOCATION
Address: '72o3 Peinny Ln Fork Fierce , FL 3&1951
I
Property Tax,ID#: 1301 - b 1/ - o/G 3 - 000 - 3 Lot No. I(o
Site Plan Name: Block No. 107
Project Name: Reneduce- Qe-roo
DETAILED.DESCRIPTION,,OF WORK:
'fear off 4 t extsl;M4 rvA, Re-nail 41,e roXcleck , .' '.,y '�� SA-V and
mod V46 64y,"en on 4kQ C)a4-Jeck_ lnstell 'Iy Plus arid Zyoav ovn
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 3= IZ Pitch
Total Sq. Ft of Construction: 1.824 Sq. Ft.of First Floor:
Cost of Construction:$ 1 O, 3to 5 Utilities: _Sewer _Septic Building Height:
OWNER/,LESSEE: CONTRACTOR:
Name Richard Beneduc.e. Name: Dan;el Soroka
Address: g3LS ISF~ PL Company:�Soroka IZocCinq L.LC
City: Vero Beach State: F L Address: PO Box (05oo Zto
Zip Code: ' 32q(v(v Fax: City: Vero 13each State:FL
Phone No.(77 L) 7(0(0 - o9 R'7 Zip Code:_324C05 Fax:
E-Mail: rbeneduce@beneduesrealty.com Phone No (772) Z31 - 1483
Fill in fee simple Title Holder on next page(if different E-Mail_ _So ro ka roo,9i n q Daft . rn e'k
from the Owner listed above) State or County License C C C 1 3 3 000 5
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: -
,DESIGNER/ENGINEER: _vlo'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.
19 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 IMPROVEMENTA TO YOUR PROPERTY. A NOTICE OF COMMENCE T MUST BE RECORDED AND
POSTED ON THE JOBS EFORE THE FIRST INSPECTION. IF YOU INTEND O BTAIN FINANCING, CONSULT
WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE O C MMENCEMENV
Signature of Owner/Less ontractor as Agent for Owner Signature of Contra r icense Holder
STATE OF FLORID STATE OF FLO DA
COUNTY OF COUNTY OF
The orgoing ins ment was acknowledged before me Thorgoing ins rument was acknowledged before me
thi of 2WX) by th 1 day o 21� by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification V Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
n ture of Notary u li - tate of Florida fsignhureof Notary Publi tate of Flori
Commission No. (Seal) Commission Rpf(d )
tdGRAM
C4my CM
= Y Pv'`'c LASK MMISSION#GG 275060
1NG 5060 N: EVIRES: a icUndenxd rs III
REVIEWS F ;o� •. 1SS1 O PLANS �lQW NGROVE
CO REVIEW REVIEW REVIEW
DATE =:�• dm�
RECEIVED �fepFfo,r
DATE
COMPLETED
ev. 9