HomeMy WebLinkAboutARNOLD PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
c�J l�o LSl�1�OL5
O �
' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:ARNOLD RESIDNECE
PROPOSED IMPROVEMENT LOCATION:
Address: 8007 PLANTATION LAKES DR
Property Tax ID #: 3321-803-0054-000-3
Site Plan Name: RESERVE PLANTATION -PHASE IIA- LOT 50 (MAP 33/28N) (OR 882-2050)
Project Name: ARNOLD RESIDENCE
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING TILE ROOF SYSTEM AND INSTALL A NEW TILE ROOF SYSTEM
PITCH 4/12-=7300SOFT
New Electrical Meter Second Electrical Meter
Lot No._
Block No.
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters -Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 7300
Cost of Construction: $ 45,500
Generator Roof 4/12 Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name Harvey E Arnold
Name: JOSEPH KOLINOSKI
Address: 8007 Plantation Lakes Or
Company: JOSEPH KOLINOSKI
City: Port St Lucie, FL34986 State: _
Zip Code: Fax:
Phone No. (772) 216-3438
Address. 4401 SE COMMERCE AVE
City: STUART State: FL
Zip Code: 34996 Fax: 772-283-1557
Phone No 283-1505
E -Mail: harnold@irsc.edu
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.
.......
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 mmencement may result in paying twice for
improvements to your property. A Notice o mencement must be recorded in the public records of St.
Lucie County and postejog the jobsi a ore the first inspection. If yo4ZPN=encement. i ncing, consult
with lender or an at efo ommencing work or recording your
Signature of
tctor as Agent for OwnerI Signature of Cf_9',Vy61ts>7License Holder
STATE OF FLORI h^n ' / - STATE OF FLORI
COUNTY OF �' l' 1F�4�litA COUNTY OF Mkia 1/1
Sworn or affirmed) and subscribed before me of
ical Presenc
R,or Online Notarization
t is day off. 2020 -by
9(�A I
Na of pe on making sta ement.
Personally Kno OR Produced Identification
Type of Identification
Produced • .:
Sworn r affirmed) and subscribed before me of
"OPh sical Presence or Online Notarization
thi day of 2020 By
r
Name of pers n making statement.
Personally Known Produced Identification
Type of Identification
Produced
(Signature otary
- S410PT FldrM
- Public
(Signature of Not Tilorl
PN
Commissio o.
4P State of Florid
: Mn�a! Hutchinson
Y ssion GG
Commission No.
ubli State Of Florio
rl�h
Myshittson
146848
oea Expin3s 10/01/2021
146848
ms 10/01/2021
REVIEWS FRONT
ZONING SUPERVISOR
PLANS VEGETATION
SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED