HomeMy WebLinkAboutANDOCHICK PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. UCIE
COUNTY
F L O
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 13008 NW HARBOUR RIDGE BLVD
Property Tax ID #: 4426-830-0012-000-6
Residential YX
Site Plan Name: HARBOUR RIDGE -PLAT 16- FIGTREE VILLAGE UNIT 10 (OR 896-2028:1276-273)
Proiect Name: ANDOCHICK RESIDENCE
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
REMOVE EXISTING TILE ROOF AND INSTALL A NEW TILE ROOF SYSTEM AND REPLACE THE EXISTING
4000SQFT /=-PITCH 5/12
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 _ Windows/Doors _ Pond
_ Electric —Plumbing _ Sprinklers _ Generator _ Roof 5/12 Pitch
Total Sq. Ft of Construction: 4000
Cost of Construction: $ 25,500
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name Patricia A Andochick
Name: JOSEPH KOLINOSKI
Address: 305 Upper College TER
Company: ONSHORE ROOFING SPECIALISTS, INC
City: Frederick, MD21701 State: _
Zip Code: Fax:
Phone No. (301) 514-1036
Address: 4401 SE COMMERCE AVE
City: STUART State- FL
Zip Code: 34996 Fax: 772-283-1557
Phone No 283.1505
E -Mail: esandochick@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail INFO@ONSHOREROOFING.COM
State or County License CCC1328994
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.
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SUPP EfVIEN�TA019 �N TRU f4N LlENa LAW INFORMfATION,:
see/Contractor as Agent for Owner
i
-
r,
DESIGNER/ENGINEER:
Not Applicable
COUNTYOF
MORTGAGE COMPANY:
Not Applicable
Name:
ical Prese
a or Online Notarization
Name:
th day of
Address:
this day of 20 by
Address:
Name of person aking stateme -.
City:
State:
OR Produced IdentificaliGn
City:
State:
Zip: Phone
Type of Identification
Produced
Zip: Phone:
Produced
FEE SIMPLE TITLE HOLDER:
Not Applicable
(Signature of Pu ic- o Florida )
BONDING COMPANY:
Not Applicable
Name:
c, My Commission GG 146949<
Name:
Address:
F-1— 4RIWOOF
REVIEWS
Address:
ZONING SUPERVISOR
City:
VEGETATION
SEA TURTL
City:
Zip: Phone:
REVIEW REVIEW
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 failur o Record a Notice of Commencement may result in paying twice for
improvements to your pro rty. A Notice of Commencement must be recor ed in the public records of St.
Lucie County and pos n the jobsite before the first inspection. If yo end to obtain financing, consult
with lender ori v before commencing work or recording; i e of Commencement.
Signatur of
see/Contractor as Agent for Owner
Si ure ntractor/License Holder
FLORI
STATE OF FLORID
:STATE
OUNTYOF
COUNTYOF
wor or affirmed)
and subscribed before me of
Sworn to irmed) and subscribed before me of
ical Prese
a or Online Notarization
'cal Presence Online Notarization
th day of
2020 b
this day of 20 by
Name of person aking stateme -.
Name of persWn making st ment.
Personally Known
OR Produced IdentificaliGn
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of o
lic- Stat f Florida)
(Signature of Pu ic- o Florida )
Commissio No.
Notary tate of Florida
Trisha nutchinson
tc State of Fbrider
Commi ion No. 'i' �I Hutchinson
c, My Commission GG 146949<
My Cornrnission GG 146848
res low/Oil
F-1— 4RIWOOF
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTL
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/b/1u