HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Re -Roof
Building Permit Application
Address: 4610 Myrtle Drive, Fort Pierce FL 34982
Property Tax ID #: 3402-608-0080-000-3
Site Plan Name: Keseric Residence
Project Name:
Commercial Residential x
Remove existing shingle and flat roof system. Remove and replace plywood as needed and fasten to code, tnstaqa ; x nt
potyglass T.U. Plus self-adhesiveu nderiayment
Install 24 ga acessory metals, Install 5 v crimp 24ga galvanized metal, flat roof to receive 1 sap and t sav white granular torch applied or self adhered over
anchored base.
Lot No.5
Block No. 40
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_, Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 14,000
_ Windows/Doors
_ Generator __-- Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _ Septic Building Height:
Name Debra Keseric
Address:4610 Myrtle Drive
City: Fort Pierce
State: _
Zip Code: 34982 Fax:
Phone No.
E -Mail: msdebby@comcast.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name:Anthony Bono
Company: Borgzinner Inc
Address: 1160 W. 13th ST #10
City: Riviera Beach State: FL
Zip Code: 33404 Fax:
Phone No 561-602-3288
E -Mail tony@borgzinner.com
State or County License CCC1332224
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#1NFtJR11JIATiON }I'LL# 6
DESIGNER/ENGINEER:
Not
i r'
;.
EApplicable
Ig e o Contractor/License Holder
Applicable
MORTGAGE COMPANY:
Not
Name:
The forgoing instrument was acknowledged before me
this by
Name:
7(e_(day eof��2/0
Address:
Address:
Name of person making statement.
City:
State:
City:
State:
Zip: Phone
Produced
flA�
Zip: Phone:
(Sign ture of Notary Public- State of Florida )
FEE SIMPLE TITLE HOLDER: —
Not Applicable
BONDING COMPANY:
Applicable
Name:
REVIEWS
Name:
_Not
Address:
PLANS
REVIEW
Address:
SEA TURTLE
City:
City
Zip: Phone:
Zip: Phone:
REVIEW
REVIEW
DATE
vvvIMCK/ LUtv I KALI UK AI-hIUVIT: 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
WITHtiYOUR LENDER OR AN ATTnPIUFY RFFnDF DcrnDrnm vn■ /n .l.,-r■�lr ._
- ---------- -- — .vv.. .av■■a.c
ROBERT JAMES QUINN
Commission B GG 289282
My Comm. Expires Jan 7, 2023
WE-
rSignature
Signatureof Owr//Cessee%Contractor as Agent for Owner
Ig e o Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
this by
The forgoing instrumelit was acknowledges( before me
this day f
7(e_(day eof��2/0
20 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Type IdentificatioW
Personally KnownOR Produced Identification
of
Type of Identificatio
Produced
flA�
Produced
(Sign ture of Notary Public- State of Florida )
{Si ature of Notary Public- State of Florida )
/j�� �J
Commission No. i� Z6 (Seal)
Commission Nott -&M-2"
(Seal)
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
ROBERT JAMES QUINN
Commission B GG 289282
My Comm. Expires Jan 7, 2023