HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MAY15,2020 Permit Number: 0100 — 40q®(e;1
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Building Permit Application MAY 2 0 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: REROOF_ �V\`. ck
Address: 6655 NUEVO LAGOS
PropertyTax ID#: 1306-500-0107-000-7 Lot No. 5'
Site Plan Name: SPANISH LAKES FAIRWAYS Block No. 41
Project Name: THOMAS45.n4),� A Q_ L�,_b eC1<,
im -�_ � '' i, '''' , -11 W- , 500 M�W�
NEW ROOF REMOVE SHIMGLES AND INSTALL 5V METAL
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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: 2500 Sq. Ft.of First Floor: 1400
Cost of Construction:$ 15,000 Utilities: —Sewer —Septic Building Height:
4.
4 tr
Name THOMAS NEUBECK Name: JOHN G. CANNON
Address: 6655 NUEVO LAGOS Company: JOHN G.CANNON
city: FORT PIERCE State:_ Address: 7901: CITRUS PARK-BLVD-
Zip Code: 34951 Fax: City. FORT PIERCE -state: F
Phone No. 772-528-8873 zip Code: .34951 Fax: 7724680272
E-Mail: Phone No 772'468=0202 CELL772-201-1771
Fill in fee simple Title Holder on next page(if different E-Mail jocannonroofQICIOud.Com
from the Owner listed above) State or County License CCC1330664
If value of construction is$2500 or more,a RECORDED'Notice of Commencement is requi
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE'COMPANY _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip:- Phone:
OWNER/CONTRACTOR AFFIDVIT:Application Is he 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.
Inconsiderationof the.granting of this requested.permit,I.do hereby agree.that I.will,inall 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 IMPROYEMENTS 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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EFof Owner/'Lessee/Contractor as Agent for Owner igna ure of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF 5-V. X_,3 COUNTY OF 6 k% -,.
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this'Z66 day of Vh av 205 by this 0-a day of-vwe.�4 .20 as by
�n ,ny�,n ave J��. �• C
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifi tion Type of Identification
Produced V L_ Produced F iDt-
(Signature of Notary blit-State of Florida) (Signature of Not
GNEi " ►r'+"ti::. ,; DEANNA IE GIVENS
Commission No. ar DEAN p23� •= CDMMISS # 022023
+t COMMI sl�+n GG 02220 Commission No. a,, IRES;D�s.2o20 ¢4
. �(PIAES:Deceln�tl6 e�wide�y 1 ••a$;os;?'� 8rnidedThruNotaryPubllcUr.�envdtr�.
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REVIEWS F G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER ' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.