HomeMy WebLinkAbout20200608_Building Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services /
Building and Code Regulation Division Commercial ResidentialV/
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:RE_ROOFING
PROPOSED IMPROVEMENT LOCATION:
Address: 710 SE HIDDEN RIVER DR. PORT ST LUCIE FL 34983
Property Tax ID #: 3427 701 0038 000 7
Site Plan Name: HIDDEN RIVER ESTATES
Project Name: 710 SE HIDDEN RIVER DR.
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE BUILT UP ROOF (FLAT ROOF)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.3
Block No. 3
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: 3419
Cost of Construction: $ 2400.00
_ Generator _ Roof
Sq. Ft. of First Floor: 3419
Pitch
Utilities: _Sewer _Septic Building Height: 8.0FT
OWNERLSP
CONTRACTOR:
Name SANDRO MT DOS SANTOS
Name:ALBERTO MUNOZ
Address: 710 SE HIDDEN RIVER DR.
Company: CONFORT BUILDERS, LLC
City: PORT ST LUCIE State: _
Zip Code: 34983 Fax:
Phone No.
Address:393 NW STRATFORD LN
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax:
Phone N0772 224 9110
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailCOBUILDERSI5@GMAIL.COM
State or County LicenseCCC1328737
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION`.
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 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 attornev before commencing=_ work or recordine vour Notice of Commencement.
A
ignature of Ow er/ Lessee/Contractor as Agent for Owner
Ignature of Cont actor/License Holder
STATE OF FLO A
STATE OF FLORIDA
COUNTY OF, % _
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
"Physical Presence or Online Notarization
Physical Presence or Online Notarization
thisoa day ofijn,_ 2020 by
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this day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification_
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced �L On iAfxS fi/-Pn*
T
Produced
(SignatNotary Publ'
(Signature of Notary Public- State of Florida )
y� Notary Pruoqlit State of Florida
COmmI5510n NO. MynCoommiisionGG300319
Commission No. (Seal)
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a may. Expires 02/11/2023
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