HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION'TO BE ACCEPTED
Date: \ I '3bI a,1 Permit Number:
Building Permit Application
Planning and Development Services
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: got
v
.PROPOS.ED IMPROVEMENT LOCATION:
Address: 300$ LOCKtoma -Dp-.
Property Tax ID#: /JU�'�d 3 -d � - Lot No.
Site Plan Name: D- p� Block No.
Project Name: �.L-eaT
;DETAILED,DESCRIPTION OF' RK. T .
c a
'Re-Roof f dh dowh K+4I ih V\0- s r(n eS
Tedr;h o-F E r1 + i s4c 11 M hplty -fla-f \AI i-I-h 4;,,r,L
Ad+ o i2
aCONSTRUCTION-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 Pitch
Total Sq. Ft of Construction: C7 O J. Sq. Ft. of First Floor:
Cost of Construction:$ i,�[� Utilities: —Sewer —Septic Building Height:
;OWNER/LESSEE: CONTRACTOR:`
.Name Name: Robert Donovan
;Address:�< '� '�� , Company: Total Home Roofing
,City: State:_ Address: 597 Haverty Court, Suite 40
Zip Code: 3 Fax: `" City: Rockledge State: F
Phone No. �- ��� fp Zip Code: 32955 Fax:
E-Mail: Phone No 321-452-9223
Fill in fee simple Title Holder on next page(if different E-Mail Christa@throofing.com
from the Owner listed above) State or County License CCC1330489
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIOWLI'EN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: of Applicable
'Name: Name:
.Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
.In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
T:he following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR N ATTORNEY BEFORE RECORDING YOUR NOTICE OF MENCEMENT:"
Signature cif essee/Contractor as Agent for Owner Signatur$ ctor/License Holder
;STATE OF FLO D STATE OF FLO A
iCOUNTY O.F COUNTY OF
:The f r ing,instru ent was acknowledged before me The for g ins ru nt was acknowledged before me
this ay of 20X by. thi day of 20poby
Robert Donovan
Name of person ma ing statement. Name of person making statement.
Personally Know OR Produced Identification Personally KnowpK, OR Produced Identification
;Type of Identification Type of Identification
,Produced Produced
&000�0 ,�
(Signature of Notary u p rS pq F4 f ISSION#FF9699�3 (Signature of NotaryPu @0 �i -LYNSALMONSON
EXPIRES:March 1o,2o2o `�q• ••v;s MY COMMISSION#FF 969903
Commission No. ;;4°a•.Bonded TSeWlary Public Underwritere Commission No. EXF(1�2S�I�arch10,2020
%e•• o•'Bonded Thru Notary Public Underwriters
i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE'
RECEIVED
DATE
'COMPLETED
ev. 2/7/19