HomeMy WebLinkAboutPERMIT 5902 YUCCA 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: _ 5�7dd' uCCq Z)'-'
Legal Description:
Property Tax ID #: 3 Y01 l o ' OC85 ~ v04 —1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side
DETAILED DESCRIPTION OF WORK:
Left Side:
Lot No. ,-L
Block No. ��' 96
CONSTRUCTION INFORMATION:
Additional wor to a er orme un er t is permit — c ec a app y:
In:
❑HVAC Gas Tank Gas Piping _ Shutters ❑Windows/Doors
❑ Electric ❑ Plumbing ❑ Sprinklers ❑Generator Roof /y Roof pitch
Total Sq. Ft of Construction: % S Ft. of First Floor:
Cost of Construction: $ CYf a � Utilities:'n Sewer ❑ Septic
OWNERAESSEE:
Name "11 Dy1 T-L01-1-0yx
Address:_ C�. Syi WG>r��C ��•
City: �� C� _ State: L
Zip Code: 3 Y �1 Fax:
Phone No. J' 6-) - J 7 7 76198
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: cs4,., C6cJ4
Company: TREASURE COAST ROOFING
Address: 1816 SW BILTMORE STREET
City: "�u'r� S State: FL
Zip Code: 34984 Fax: 772-343-8358
Phone No. 772-370-9770
E-Mail: TCROOFINGLLC@GMAIL.COM
State or County License: CCC1330653
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
l SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 1816 SW BILTMORE STREET
City:
Zip: Phone:
MORTGAGE COMPANY
Name:
Address:
Citv:
Zip: Phone.
Not Applicable
State:
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 your Notice of Commencement.
1
Signature of Owner/ L see/Co "
tor as Agent for Owner Signature 6f ractor/L' nse er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LculE COUNTY OF STLucle
The forgoing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me
this �Q day of 'T /r/ 20� by this Z day of ��y 20�0 by
BRIAN J MALONEY BRIAN J MALONEY
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- State of Ida) Signature of Notary Public- State of Flo a )
Commission No.� ission Note g ��`— (Seal)
Victor G Alterizio
Notary Public, State of Flo ida Victor
Expires 022 Notary Public, Sta a of Fiori
REVIEWS FRO T Nlomml �41 9�LA S V ETA Mtn€tStiExpi eg�
COUN W EVIEW
Co"MW No. G AFM
DATE
RECEIVED
DATE
COMPLETED
_L_ I
Rev. 8/2/17