HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a-1 \a0 Permit Number:
RECEI E1/ D
- FEB 2 7
Building Permit Applicatio
Planning and Development Services ST• Lucie County, Pefmitcing
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: RE -ROOF
PROPOSED IMPROVEMENT LOCATION: 1618 NW Buttonbush Circle, Palm City, FL, 34990
Address: 1618 NW Buttonbush Circle, Palm City, FL, 34990
Property Tax ID #: 4426-840-0004-000-8 - 132654 Lot No.
Site Plan Name: SENN, LAURENCE & KATHARINE Block No.
Project Name: SENN, LAURENCE & KATHARINE
DETAILED DESCRIPTION OF WORK:
RE -ROOF TILE TO TILE
Ltd A
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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 6/12 Pitch
Total Sq. Ft of Construction: 50
Cost of Construction: $ 75,108.63
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SENN, LAURENCE V & KATHERINE
Name: KOH KNOX
Address: 1618 NW BUTTONBUSH CIR
Company: KNOX SERVICES
Address: 15790 CHIEF CT.
City: PALM CITY State:
City: FORT MYERS State: FL
Zip Code;: 34990 Fax:
Phone No.
Zip Code: 33912 Fax:
E-Mail: 917-721-9820
Phone No 239-470-6771
E-Mail ENOBLE@KNOXROOFS.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CCC1331450
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: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: wAot Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: ✓IVot Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 Ar# ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/_Lessee/-Contr--actor-as-Agent for Owner
Signatyl of Co tr or/License Holder
STATE OF FLORIDA
STATE OF FLOR A
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The forgoing instrument was acknowledged before me
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19