HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /'" h
Date: "� '2� Permit Number: � IV �D�V
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Building Permit Application
Planning and Development Services J U L 0 8 2020
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PRO.QOSE13 I:MP O 1@,FA,ENT L CANON
Address: 2886 CRIST DRIVE, FORT PIERCE
Legal Description. CRIST S/D LOT 4
Property Tax ID#: 2421-704-0004-000-8 Lot No. 4
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
�D'ET�AIILED DE�SCRI�PT®N ®.F V,li'®RK
TEAR OFF SHINGLES, RENAIL DECK, INSTALL STANDING SEAM METAL PANEL ROOF SYSTEM
OVER SELF-ADHERED UNDERLAYMENT.
64 x.
CONSTRUCTION I'NF®*.,AATION<73
- s;
Additional worktoa nerformed under this permit-check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof 312 Roof pitch
Total Sq. Ft of Construction: 2,600 S Ft.of First Floor: 2,592
Cost of Construction:$ 9,000 Utilities:Sewer E]Septic Building Height: 1 STORY
OU1/NER�/L SS'EE 5 CO.NI'R064
Name FLAVIO LUNA&ANGELINA LUNA-GARCIA Name:
Address: 2886 CRIST DR Company:
City: FORT PIERCE State: FL Address:
Zip Code: 34982 Fax: City: State:
Phone No.qTZ- 5)qs- 2-2-
Z-1 Zip Code: Fax:
E-Mail:rp�rr_f- I c Lncl Q d,(,Q (a QII, CCO 64-. Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMEN�'AL CONSTRUCTION LIEN LAW INFORMATION � r� � �`'� _� � �_� ������.�� �'
�ca�.. � ��` ,� .�; �, a.,,.�•'� �` fes" - � �,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _L-Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: of 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 thepermit 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 attorney before commencing work or recording our Notice of Commencement.
PL`�1C�
Signa re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �� 1(0,�F. COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
—Physical Pr ence or Online Notarization Physical Presence or Online Notarization
this day of 2020 this day of 2020 by
Name of person making statement.� 9&& -,Nfl `.lJ o.�\ Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced, Produced
JA A
(Signature of Notary Pu ic-State of Florida L (Signature of Notary Public-State of Florida)
,;PaYP�a% KAREN �N)`ELSEN
Commission No.
of Flori A tary Public Commission No. (Seal)
_* Commission # GG 207484
sion Expires
411 Z7%I" June 12, 2022
REVIEWS OR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.