HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
nate• 5/22/2020
Permit Number:
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) 462-1.578
Commercial
PERMIT APPLICATION FOR:TILE TO TILE RE -ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 10304 CROSBY PLACE, PORT ST. LUCIE, FL 34986
Property Tax ID #: 3327-709-0039-000-1
Site Pian Name: STEINBERG RESIDENCE
Project Name: STEINBERG RESIDENCE
DETAILED DESCRIPTION OF WORK:
Residential X
Lot No. 84
Block No.
TILE TO TILE RE -ROOF, INSTALLATION OF PEEL AND STICK UNDERLAYMENT AND BORAL VILLA 900 CONCRETE TILE.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: 47 SQUARES
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
X Roof 6112 Pitch
Cost of Construction: $ 6000 Utilities: —Sewer —Septic
OWNER/LESSEE: CON
Name RICHARD STEINBERG
NamE
Address: 10304 CROSBY PLACE
Camp
City; PORT ST. LUCIE, FL
State: _
AddrE
Zip Code: 34986 Fax:
City: _
Phone No. 772-398-8413
Zip Cc
E -Mail:
PhonE
Fill in fee simple Title Holder on next page ( if different
E -Mai
from the Owner listed above)
State
Building Height:
TRACTOR:
CESAR A. SANDOVAL
any: THE ROOFING GENERAL, LLC
ss: 4629 SE DIXIE HIGHWAY
3TUART State: FL
de: 34997 Fax:
No 772-266-9659
CESAR@THEROOFINGGENERAL.COM
)r County License CCC1331769
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Nat Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not. Applicable
Name:
Address:
City:
City:
Zip: Phone:
OiWNFR/ MJUTRArTnQ AC[ernx1r.
Zip: Phone:
-- - --• —•- •� • . Appil .dLiui l 1�:, rreruby made to ontam a permit to clothe work and installation as indicated,
1 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you 'intend to obtain financing, consult
with lender or an attornet before Commencing work or recording our Notice of C9mmencement.
Signature of Owner/
r as Agent for Owner I Signature of Contra
STATE OF FILI � STATE OF FLORIDA
COUNTY OF DA COUNTY OF
Sworn to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
rhi gday ofr`ha[j _ 2020 by
Name of person making statement,
LamSc,, �n cL�j 01 'Z"' ._
Personally Known OR Produced Identification
Type of Identifi anon
Produced _
Q LZO
(Signature of Notary Public- State of Florida j
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Co ission o. (Sealest'�'R
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REVIEWS FRONT D Jam' PERVISOR
COUNTER EV1EW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
_X Physical Presence or Online Notarization
this _�2day of ri10. 2020 by
Name of person making statement.
C-QSC -1- h e -I o c)ca�
Personally Known OR Produced Identification
Type of Identification
Produced ROBIN GRAVES
Notary Public. State of Florida
�✓ 1��(i i ` Conimiss+on# GG 964759
(Signature of Notary PubL-tate o
:ommisss n No. �' �1 (Seal)
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PLANS I VEGETATION I SEA TURTLE MANGROVE
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