HomeMy WebLinkAboutBuilding Permit Revised All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �/
Date: J'�+!v'o�D Permit Number: _Q 00 3 � 0 3 7O
REVISION•
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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 5215 Hickory Dr. Ft. Pierce, Florida 34982 MAY 1 2 J
Property Tax ID#: 3402-608-0432-000-6 ST. Lucie County, Permittinci Lot No.38
Site Plan Name: Indian River Estates �i Block No. 51
Project Name:
91 �ri1�.f
DETAILED DESCRIPTION OF.WORK
115 154
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ON:tNFORMATION: '
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 Pitch
Total Sq. Ft of Construction: ? !�-'01t;l Sq. Ft.of First Floor:
Cost of Construction:$ 16, -50 vo Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:. CONTRACTOR:
NameStephen Ferreira Name:Steve Frontera
Address:50 Forest Ave. Company:Steve Frontera Roofing, Inc.
City: Riverside State:7 L,. Address:P.O.Box 9661
Zip Code: 60546 Fax:NSA City: Port St. Lucie State:FI.
Phone No.954-461-1847 Zip Code: 34985 Fax: 772-336-8568
E-Mail:cubbies4000@yahoo.com Phone N0772-336-3880
Fill in fee simple Title Holder on next page(if different E-Mailsteve.frontera @att.net
from the Owner listed above) State or County License CCC1326920
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 SLAW INFORMATION.
3
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 1WROVIEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED HE JOB SITE BEFORE THE FIRST INSPECTION. 1 INEND 1 OBTAIN FINANCING, CONSULT
WITH Y R L R AN ATTORNEY BEFORE RECORDIN OU ) OF COMMENCE E ."
SignaturVLCORIDA
ner/Lessee/Con ractor as Agent for Owner Signa re o Contractor/License older
STATE STATE OF FLORIDA
COUNTY OF COUNTY OF
The forVing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -day of (YM!l 20020 by this b",'t day of YY1tj ,20,1D by
�,�-@,u.Z. h ?•� tea"+, �t-� l�R•�Y�—' ��Name of of person maki:70R
tement. 5.tion Name of person making statement. o.A: Q�•
�ovim '�
Personally Known Produced Identictop,^ Personally Known OR Produced Identification
Type of Identification Type of Identification xEOZ
Produced -� � ; � Produced �a.
a
o c, n
c ' c
cn JI &Lnt-L Z v V
Sin ure of Nota Public-State of Florida "'�' ~
(Sign Notary ) „ m (Signatue of Notary Public-State of Florida) 0 0
Commission No. 03
r (Seal) W Commission No. TI "1 ���d.3 (Seal) " iy
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19