HomeMy WebLinkAbout6906 Cabana Ln Permit Application 1All 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) 462-1578
PERMIT APPLICATION FOR: Reroof
PROPOSED IMPROVEMENT LOCATION:
Address: nyuo Lapana Lane, Fort Nierce, FL 34951
Property Tax ID #: 1301-613-0282-000-9
Site Plan Name: Lakewood Park Unit 11
Project Name:
DETAILED DESCRIPTION OF WORK:
Reroof residence with Architectural Shingle Roof System
New Electrical Meter NA Second Electrical MeterNA
CONSTRUCTION INFORMATION:
Residential X
Lot No.13 and 14
Block No. 149
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers _ Generator Roof 5112 T Pitch
Total Sq. Ft of Construction: 4100 Sq. Ft. of First Floor: 3008
Cost of Construction: $ 17,200 Utilities: —Sewer —Septic Building Height: 14 ft
OWNER/LESSEE:
CONTRACTOR:
Name Christine Serkin
Name:
Address:6906 Cabana Lane
Com pa ny: Modtek Roofing Inc.
City: Fort Pierce State:
Zip Code: 34951 Fax: NA
Phone No.772-321-8550
E-Mail:serkin20l8@gmail.com
Address:1360 Old Dixie Hwy SW Ste 103
City: Vero Beach State: FL
Zip Code: 32962 Fax: NA T
Phone N0772-213-8437
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail needroof@modtekinc.com
State or County License CCC1 326977
- ^•-- -• �••� •• •� O n�%.vnUcu Iwaicc yr %.ummencement is requireo.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE MOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
L.
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 hrestrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions wich 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 recording our otice of Commencement.
Signatu ee of Owner/ Lessee/Contractor as Agent for Owner
Signature o or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF_ T k1o(.,; a_,A R ; U
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
this � day
P!Ysical Presence or Online Notarization
of 2020 by
this I day of 2020 by
i�o 6tr+ PA
L(x.Ke_ W1 c og yxe_- I
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification Wit_.
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced f i- T*3R . L- .
Produced c vSo na l l u KN ) .fir.
( ignatu f Nota LI _A N 1iOGAN
(Signatu o�14
Oil
� ELI ABETH H GDN
�'
,`:° Notary Pu li - tale of Florida
Commission No. .• or,°rrn;s gilts GG 977877
Commission
Notary Public-Stat
.=
# GMk4y
Commission ExpiresMy
„�,,•April 2, 2024
on
Commission Exp
�'' �,,,a`� i
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
MANGROVE
SEATURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.