HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
I PERMIT APPLICATION FOR: Roof
Address: 13502 NW Coco Plum Ct.
Legal Description: Harbour Ridge Plat No 1 Lot 24 (or 3852-726)
Property Tax ID #: 4436-601-0024-000-0
Site Plan Name:
Project Name: Kelly Residence
Setbacks Front Back: Right Side: Left Side:
Lot No. 24
Block No.
Remove existing Tile roof system and install new Boral Barcelona 900 tile with 30# Felt Base sheet, Peel & Stick underlayment
install .032 Aluminum accessory and install 3 Miami Dade approved Skylights, (2) 2x4 & (1) 2x2
acuuvaai wufrc Lo ue eriurrneu unuerims perms—ci
❑HVAC _ Gas Tank ❑Gas Piping
11 Electric El Plumbing Sprinklers
Total Sq. Ft of Construction: 9700
Cost of Construction: $ 71,300.00
Shutters ❑ Windows/Doors
Generator RI Roof 6_ Roof pitch
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Name Richard & Sandra Kelly
Address: 13502 NW Coco Plum Ct.
City: Palm City State:FL
Zip Code: 34990 Fax:
Phone No. 561-784-3444
E -Mail: maria@totalroofingsystems.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Juan Martinez
Building Height: 19
Company: Total Roofing Systems
Address: 340 Pike Rd.
City: West Palm Beach State: FL
Zip Code: 33411 Fax: 561-784-1098
Phone No. 561-784-3444
E -Mail: maria@totalroofingsystems.net
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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STATE OF FLORIDA
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Address:
Name of of person making statement
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Personally Known Y. OR Produced Identification
City: —
State
f Identification
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State:
Zip: Phone
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Phone:
(S)nature of Not ry Pubiidi State of Florida }
{ 1 ature. of Notffa i Public State of Florida)
Commission Noy r'�C' i7%"" (Seal)
Commission No.C7 2'liow' (Seal)
REVIEWS
FRONT
FEE SIMPLE TITLE HOLDER:
Not pplicable
PLANS
BONDING COMPANY:
_Not Applicable
Name:
i—
Name:
REVIEW
Addre5S:340 Pike Rd.
REVIEW
REVIEW
ddress:
DATE
City:_
City:
Zip: Phone:
RECEIVED
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:'A.pplication is hereby made to obtain a permit to do the work and installation as indicated.
t 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. holderto 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
rornmencine work or recording vour Notice of Commencement.
Rev. 8/2/27
ignatueofOwner/ Lesseesee/ContractorasAgent for Owner
SignaturebrContractorJlioeiseligld
STATE OF FLORIDA
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,.STATE OF FLORIDA;'-
OF
I COUNTY OF
i
COUNTY
The fooiing instrument was acknowledged before me
The forrg�cring instrume t as acknowledged before me
�_ `�by...
this 'day of _i`'f , 2Cv"� by
, 20
this' d ay�ofr7
Name of of person making statement
Name of per on making statement
Personally Known Y. OR Produced Identification
Personally Known __ OR Produced Identification
Type of Identification
f Identification
Produced� J�"W Notary Public State of Flo
Mare A Molinares
.vK•a Nota Public Sate o'
irprtid ed ° Maria A Molina
My Commission GG 4
y �< My Commission GG 217
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Ex fres 04/2512922
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(S)nature of Not ry Pubiidi State of Florida }
{ 1 ature. of Notffa i Public State of Florida)
Commission Noy r'�C' i7%"" (Seal)
Commission No.C7 2'liow' (Seal)
REVIEWS
FRONT
ZONING
I
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
i—
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/27