HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �? :7-- AX Permit Number.,914A
J.
•
NEAR 17 2020
Building Permit Applic ion
Planning and Development Services Permitting Department
Building and Code Regulation DivisionS t. ���d e C C u n t �
2300 Virginia Avenue, Fort Pierce FL 34982 y L.
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentla
PERMITTYPE: Roofing
`PROPOSED'INIPROVEMENT LOCATION.
Address: 5812 PINETREE DR FORT PIERCE FL 34983
Property Tax ID#: 3402-603-0118-000-4 Lot No. 19,20,21
Site Plan Name: CONDON Block No.
Project Name: CONDON
'DETAILED DESCRIPTION OF WORK
REMOVE EXITING SHINGLE AND UNDERLAYMENT
INSTALL NEW TRI-BUILT UNDERLAYMENT
INSTALL NEW SHINGLE (1)SKYLIGHT
FONSTRUCTION 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 5/12 Pitch
Total Sq. Ft of Construction: 2,800 Sq. Ft. of First Floor: 2,800
Cost of Construction: $ 14,600 Utilities: _Sewer _Septic Building Height: 81
OWNER/LESSEE: s-'. CONTRACTOR
Name LYNN MARIE CONDON Name: MAURICIO ORELLANA
Address: 5812 PINETREE DR Company: ONE CONSTRUCTION & ROOFING
City: FORT PIERCE State:_ Address: 2766 SW EDGARCE ST
Zip Code: 34982 Fax: City: PORT SAINT LUCIE FL 34953 State: FL
Phone No.954-987-4567 Zip Code: 34953 Fax:
E-Mail:NSA Phone No 772-240-9497
Fill in fee simple Title Holder on next page(if different E-Mail ONECONSTRUCTIONSERVICES@YAHOO.COM
from the Owner listed above) State or County License CCC-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.
eSUPPLEMENTAL-CONSTRUCTION.LIEN`LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: one Zip: Phone:
FEE SIMPLE TLE HOLDER: _N Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: P ne: 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."
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDAL STATE OF FLORIDA
COUNTY OF 'Gwn l LUGI t COUNTY OF S L 64-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 11 day of )A1%T-U(1 20_;& by this 1—I day of IALVC," 20 ZD by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification X Personally Known OR Produced Identifi c tIlpl9l_til_l�l///0�s��
Type of Identification
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ammission No.-; 6A G1 C1 lly5`IS (S �y •pu6�::U�•.Q
REVIEWS FRONT ZONING PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19