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HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR ,APPLICATION TO BE ACCEPTED COU"TY _ F L O R 1 0 A Permit !Number: Building Permit Application Planning and ,Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X Address: Legal Description: Lcq FGii, r W asis Property Tax ID #: (30 co' 6'pd -- o o 6 5- - 04 - Lot No.31 Site Plan Name: Block No. as - Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Car 0 �Xr S /�9 600 0,1 d c,"de-jr (A -z, e:-./, CONSTRUCTION INFORMATION: CONTRACTOR: Name Cs'1 ,e V U/`G Name: / e o Additional work to be e orme under this permit! c ec a[1 appy: �_' r City: IW�r�L 4,6-e State: % / Zip Code: `ld 383 Fax: Phone No. ,2 twS" - p6" 11 -HVAC f Gas Tank E]Gas Piping E -Mail: TCROOFINGLLC@GMAIL.COM State or County License: CCC1330653 Shutters [] Windows/Doo s 11 Electric 0 Plumbing Sprinklers []Generator 1E Roof,' Roof pitch Total Sq. Ft of Construction: / 70.;k SFt. of First Floor: Cost of Construction: $ 7 r 9 0d Utilities:cn Sewer []Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Cs'1 ,e V U/`G Name: / e o ,rr�� Address: 1 y.Sr� eir., Or. Company: TftEASURE COAST ROOFING �_' r City: IW�r�L 4,6-e State: % / Zip Code: `ld 383 Fax: Phone No. ,2 twS" - p6" Address: 1816 SVr'J/BILTMORE STREET City: %J�r _X' C/C^��. State: FL Zip Code- 34984 Fax: 772-343-8358 Phone No. 772-370-9774 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: TCROOFINGLLC@GMAIL.COM State or County License: CCC1330653 IT Value OT construction Is !;�Z5UU or more, a RECURVE© Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip. Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: 1816 SW BILTMORE STREET 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 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencinu work or recording vour Notice of Commencement. Rev. 8/2/17 signature of r/ Les$g,4Contr ct as Agent for Owner Sign atu a ontrac /Licen older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Sr Lct1IF COUNTY OF ST weir The for oing instrume t as acknowledged before me The forgoing instrument was acknowledged before me this i 3 day of / i' 206 by this day of 2(}_ by BRIAN J MALONEY BRIAN J MALONEY Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced Ir (Signature Notary Public- State of Florida ] (Signatu a of Notary Public- tate of Florida ] of Commission No. �7i71 o77�dL%� on No.7Y�� Use" P& Notary Public Siate ricrida acdr R�+s� Not3ry PubEie State o Vidor G Alte€izio Victor G Alteriria tv1y Commission GG } 74292 ,, My Commissio i,G REVIEWS FRONT ZO I VEGETATION SEA A COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17