HomeMy WebLinkAboutBuidling PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
1a � Llj
•
Plonning and Development Services
Building and Code regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Roof
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Commercial Residential X
Address: 5812 PINETREE DR FORT PIERCE FL 34952
Property Tax 1D #: 3402-603-0918-00014
Site Plan Name: CONDON
Project Name: CONDON
DETAILED DESCRIPTION OF WORK -
REMOVE AND REPLACE ROOF COVER OF EXTING FLAT ROOF ON REAR OF THE HOUSE
PERMIT FOR SHINGLE ROOF IS OPEN SLC 2003-0431
INSTALL NEW MODIFIED BITUMEN ROOF SYSTEM 1 PEEL & STICK
CONSTRUCTION INFORMATION:
Lot No. 19,20,21
Block No. 10
Additional work to be performed under this permit check all that apply:
_Mechanical — Gas Tank , Gas Piping — Shutters Windows/Doors
Electric ` Plumbing
Total Sq. Ft of Construction: 150 SQ ST
Cast of Construction: $ 650
OWNER/LESSEE;
Name LYNN MARIE
Address: 5812 PINETREE DR
Sprinklers Generator Roof 2112 Pitch
Sq. Ft. of First Floor: 150 SO FT
City: FORT PIERCE State:
Zip Code: 34952 Fax:
Prone No. 9-54-987-4567
E -Mail: NIA
Utilities: , Sewer _ Septic Building Height:
Fill in fee simple Title holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Narne: MAURIC10 OREL LANA
Company: ONE CONSTRUCTION & ROOFING
Address:2766 SW EDGARCE ST
City: PORT SAINT LUCIE State: FL
Zip Code: 34953 Fax:
Phone No 772-240-9497
E -Mail 'C7NECONSTRUCTiONSERVICES@a YAHOO.COM
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 $7,560 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESiGNE'RfENGINEER: Not Applicable
Name:_
Address:
City:
Zip:
Phon
FEE SIMPLE TITLE HOLDER:
Name:_
Address;
City:
Zip:
Phone:
State:
Not Applicable
MORTGAGE COMPANY:
Name:_
Address:
City:
Zip:
Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
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 5t. 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 'brA.;mA- Luau COUNTY OF 72w,m+
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _a day of ti ,cx.(_0V-N 20-2-0 by this -_a day of _ �ajLCh 20 2"c1 by
00� r Nc�rQ�� ``t�lcwrr {t CS�r ei�Q
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification _ K
Type of identification
Pr duced f J £ R C
4` �,`,-SER 1' �,i�•
{Signature of Notary Pu lic- 5-taee of Fliai) o
Commission No. L
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REVIEWS FRONT ZONING �I} R
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE f
COMPLETED
Personally Known OR Produced Identification Y
Type of Identification
ProducedOi° -�
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PLANS VEGETATION
REVIEW REVIEW
SEA TURTLE
REVIEW