HomeMy WebLinkAboutPermit Applic for 1806 W Boothe DrAll 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
Residential x
PERMIT APPLICATION FOR: Roofing
PROPOSED IMPROVEMENT LOCATION:
Address: In e ( G (o jj/ i3 0 O 4 Ft. J C19 P?
Property Tax M #t: 2421-704-0001-000-7 Lot No. 1 and 2
Site Plan Name: Bethune Block No.
Project Name: Bethune
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE ROOF COVER
INSTALL NEW UNDERLAYMENT / PEEL & STICK
INSTALL 1" NAIL STRIP METAL ROOF
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
Total Sq. Ft of Construction: 2070
Cost of Construction: $ 18,000
Sprinklers
Generator r' Roof Pitch
Sq. Ft. of First Floor: 2070
Utilities: —Sewer YSeptic Building Height: $
OWNER/LESSEE:
CONTRACTOR:
NameMARVIN BETHUNE
Name: MAURICID ORELLANA
Address: 180E W BOOTHE DR
Company:ONE CONSTRUCTION & ROOFING
City: FORT PIERCE f State:
Zip Code: 34982 Fax: f.j f Pr
Phone No. 772-371-8282
Address: 2766 SW EDGARCE ST
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax:
Phone No 772-240-9497
E-Mail ONECONSTRUCTIONSERVICES@YAHOO.COM
State or County Licen se CCC-1 330623
E-Mai I: NIA
Fill in fee simple Title Holder on next page t if different
from the Owner fisted above)
1f 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 subjectstructure
in Home Owners Association bylaws that may restrict or such
which is conflict with any applicable rules, or and covenants prohibit
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, 1 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 applicat'sons are exemptfrom 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 attorney before commencn work or rec o rd i ng your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF f l
COUNTY OF ► . L °c
Sworn to (or affirmed) and subscribed before me of
Swo n to (or affirmed) and subscribed before me of
_4 Physical Presence Online Notarization
Physical Presence or Online Notarization
or
tYiis 1� day of ��� _ 2020 by
this t ?_ 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 mtol��il+�:iljts2
Type of Identification
Produced S C §`a\N �E�Gdyj,�22�a���
Produced LAG S
;. �• .. •. dui
Paz- 1 "7p,
sE,�3g>��.�:ir9;rr
(Signature of Notary ublic- ate of_toritl� `' : i=
- (Signature of Notary Pu ic- Stat of Fla6da ).'n,
i} �� m'• �
Commission No. azs a ` :
1�
a
Commission Nv. t312��J�5 [5ea��
, _
'
i:GG 926545
ZZ
REVIEWS
FRONT
ZONING "'
? j ; fd iSOR
PLANS
VEGETATION
SEATUR�k(-,a
-•MRNdk0_
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.