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HomeMy WebLinkAboutPERMIT 164 NE SOLIDA DR.ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: w 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) 462-1575 Commercial Residential JC. PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of linepe PROPOSED IMPROVEMENT LOCATION: Address: 16 q �JL Sp! Legal Description: Property Tax ID #: �!> `f I g 'Y $65 — 00 10 — 00 © -- `Ir Lot No. C1 Site Plan Name: Block No. a Project Name: Setbacks Front Back: Right Side: Left Side: mar o.., -oz-� and ins�alf n -s w Sv rrl-oa l-ba4 Qncl uncOve Ioy?tQn i - CONSTRUCTION INFORMATION: Additional work to be er orme un er t is permit— check all app y: ❑_ HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors ❑Electric Plumbing ❑Sprinklers ❑Generator Roof Roof pitch Total Sq. Ft of Construction: ,2.3600 Cost of Construction: $ f 3i oc SFt. of First Floor: _ Utilities ]Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name f 8 /-9// 6 Name: ,-tri /h Address: y Soli a �� • Company: TREASURE COAST ROOFING rd City:B State: r", Zip Code: 3(1,9 � 3 Fax: Phone No. 6 7 / Address: 1816 SW BILTMORE STREET City: C, State: FL Zip Code: 34984 Fax: 772-343-8358 Phone No. 772-370-9770 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: TCROOFINGLLC@GMAIL.COM State or County License: CCC1330653 If value of construction is 52500 or more, a KEC.UKUtU Nonce of commencement is requireu. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone, FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: 1816 SW 91LTMORE STREET 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 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 commencini; work or recording your Notice of Commencement. - Signature of Owner/ Le ee/C�(itractor as Agent for Owner Signature o )ntract Li a Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LOUIE COUNTY OF ST Luce The forgoing instrument was acknowledged before me The for Ding instrument was acknowledged before me this day of JJJ� 2170'�0 by this day of r26yv by BRIAN J MALONEY BRIAN J MALONEY Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced \\\``\ rtiM1AR,,' � tom\ � RTS � r,, f-��/ � 5�` .,' !^a5401yP � • .' ( ignatu of Notary Public- State of Flom } :Loop 2g 2o���A{ (gnat re of Notary Public- State of Florida �_` oo°o to RY , tAOTARY �•� Commission No.%la Se'l 3eni �C"5Yl Go'"s commission No.C,� {Sa_ea rTl}; pu�cyc ^ UBLIC _ i [� A OF VV. REVIEWS NING I COUNTER RNT OEVIEW d �& MR Wad RE EW VEGETATION EVIEWSEA REVIEWLE I MAMY REVIIEEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17