HomeMy WebLinkAboutPermit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 • 8:Permit Number
Building Permit Application MWR " F 2020
Planning and Development Services Pe o m s
Building and Code Regulation Division II
2300 Virginia Avenue, Fort Pierce FL 34982 FL z
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
PERMIT APPLICATION FOR: Roof
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Address: 1580 NW Sweetbay Cir., Palm City, FL 34990
Legal Description: Harbour Ridge -Plat 8- Sweetbay Village Recreation Area (OR 714-243)
Property Tax ID #: 4426-803-0023-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Sweetbay Pool House
Setbacks Front Back: Right Side: Left Side:
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tionai wor to e er orme un ert is permit-checka apply:
F]HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
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Electric Plumbing Sprinklers Generator 121 Roof /7/ Roof pitch
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Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ 70 Utilities: nSewer
,G Septic Building Height:
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Name Sweetbay Village HOA Inc.
Name: Juan Martinez
Address:12600 NW Harbour Ridge Blvd.
Company: Total Roofing Systems
City: Palm City State: FL
Address: 340 Pike Rd.
City: West Palm Beach State: FL
Zip Code: 34990 Fax:
Phone No.
Zip Code: 33411 Fax: 561-784-1098
Phone No. 561-784-3444
E-Mail: �I�.62C7
Fill in fee simple Title Holder on next page ( if different '
E-Mail: maria@totalroofingsystems.net
State or County License: CCC1330788
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPLEENLO(STUfTIOCf f fEN"L�iU1/ }IUFOIt/tA�ION
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
Skate
i
State:
Zip: Phone
Ip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Ap lic• ble
B NDING COMPANY:
Not Applicable
Name:
Name:
Address: 340 Pike Rd.
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenclne work or recordine vour Notice of Commencement. 1 e-"
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Sig ure of Contractor/Lice e Ho
STATE OF FLORIDA /�� �)_
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STATE OF FLORI ®
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COUNTY OF kJr-1�16�8
COUNTY OF E?PC-�l
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thiiis$!W of MR/(224-&? , 202_0 by
this® day of 0aC497 2GZO by
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Name of per on making statement
Personally Known OR Produced Identification
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sign ture of Notary Public- ate of Florida )
(Si nature of Noo=tar Public-tateof lorida )Commission
No. Z1/0&'2 c 1) Notary Public State
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Mari2 A Molina
Maria A Molina
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Expires
11062 My Commission GG 211052'7®sn�
04/25/2022
Expires 04/25/2022
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DATE
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Rev.8/2/17