HomeMy WebLinkAboutBuilding 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 31 U2 J UAN ITA AVE. FORT PIERCE FL 34946
Legal Description:
SHERATON PLAZA -UNIT FOUR REPLAT LOT 282 (OR 208-2014)
Property Tax ID #: 1432-807-0040-000-9
Site Plan Name: 3102 JUANITA AVE. FT. PIERCE FL 34946
Project Name: SHINGLE TO STANDING SEAM METAL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLES DOWN TO THE WOOD DECK AND INSTALL NEW METAL PANELS
Lot No. 282
Block No. 139
CONSTRUCTION INFORMATION:
Additional work to be Derformed under this permit —check a apply:
E1HVAC L_I Gas Tank ❑Gas Piping Shutters O Windows/Doors
11 Electric Plumbing Sprinklers MGenerator R] Roof 4:12 Roof pitch
Total Sq. Ft of Construction: ( I6D S . Ft. of First Floor:
Cost of Construction: $ lsl eoo _ Utilities:] Sewer []Septic Building Height:
OWNER/LESSEE:
CONTRACTOR
Name Martha R Lewis
Address: 3102 JUANITA AVE
Name: Javier Solis
Company: SOLIS ROOFING CONTRACTORS INC.
FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No.
Address: 1033 SW Dalton Ave
City: Port St. Lucie State: FL
Zip Code: 34953 Fax: 772-878-4097
Phone No. 561-662-6622
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: SOLISROOFINGINC@GMAIL.COM
State or County License: CCC1330147
•• — —1-1 1. 13 111UIC, a RcwRuru rvouce or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x_ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
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 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
commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner I'Sitnaiure
STATE OF FLOR A -
COUNTY OF ITV tluu
The for oing instrument was acknowled a before me
this day of U� 20dV by
Name of person making statement
Personally Known _/ OR Produced Identification
Type of Identification
Produced
Holder
TE OF FLORIP4' f
)NTY OF
The forgoing instrument was acknowledged before me
this day of 207�) by
(XU�_Qf �DItA
Name of person baking statement
Personally Known OR Produced Identification
Type of Identification
Produced
I 44LL V
(Signature of Notary Public
1;1 —
(Signature of Notary!
Commission No. =.=" *:
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EXPIRES: APd 4, 2023
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FJpIRES: Apra 4, 2023
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Rev. 8/2/17