HomeMy WebLinkAboutBuilding Permit Application 1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED nn
Date: Permit Number:��I of q
- - ' - 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
PERMITTYPE: Roof
PROPOSED`IiVIPROVEMENT,LO`CATION:
Address: 8222 MAIDENCANE PL PORT SAINT LUCIE FL 34952
Property Tax ID#: 3426-703-0134-000-3 Lot No. 120
Site Plan Name: HOFFMAN Block No.
Project Name: HOFMAN
DETAILED DESCRIPTION'OFWORK ,
REMOVE AND REPLACE ROOF COVER
NEW OWEN CORNING/DURATION/SHINGLE
TRI BUILT/PEEL&STICK UNDERLAYMENT
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 l/ Roof / (ZPitch
Total Sq. Ft of Construction: 1618 Sq. Ft. of First Floor: 2020
Cost of Construction:$ 11,500 Utilities: —Sewer —Septic Building Height: 8
OWNER/LESSEE CONTRACTOR:
Name LARRY HOFFMAN Name:MAURICIO ORELLANA
Address:8222 MAIDENCANE PL Company:ONE CONSTRUCTION & ROOFING
City: PORT ST LUCIE State: Address: 2766 SW EDGARCE ST
Zip Code: 34952 Fax: City: PORT ST LUCIE State: FL
Phone No. 772-343 0622 Zip Code: 34953 Fax:
E-Mail:N/A Phone No 772-2409497
Fill in fee simple Title Holder on next page (if different E-Mail ONECONSTRUCTIONSERVICES@YAHOO.COM
from the Owner listed above) State or County LicenseCCC- 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.
St�PPLEME TAL GO(�S R IC�TI`ON L N LAW {NfORsIVIATI N'r 4 � M 7w�,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMW 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 STATE OF FLORIDA
COUNTY OF \. COUNTY OFv-
The forg�(ng instrument was acknowledged before me The fog instr ment was acknowledged before me
this_� y of �� ��c 20AU by this 19L day of 2c0?Z>y
Name of person making statement. Name of person making statement.
Personally Known `� OR Produced Identification Personally Known � OR Produced Identification
Type of Identification Type of Identification --- -- - -
Pro Produced
(Signature of Notary PUbir-T S bf F �4E BLAIR-/1LEXRNDER (Signature of(NptaryRi1=S mQssior
)xi ' Notary Public �` �', F 9 Z {
vw: an Stato of Florida 11 ,. �� 9569J
Commission No. '. .'-� < , 0o �Mion#FF 995699 Commission No: — . Expires(§ 1)2020 i
)L—_rr+nm+" Y COmm.EXpIrBS S°
3� P 6,2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19