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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 1539 NW Buttonbush Cir., Palm City, FL 34990
Legal Description: Harbour Ridge -Plat 13-Buttonbush Village Unit 23 (or 3765-69)
Property Tax ID #: 4426-815-0030-000-1
Site Plan Name:
Project Name: Amorosana Residence
Setbacks
Back: Right Side: Left Side:
Lot No.
Block No.
Remove two (2) 2x4 Skylights and replace with two (2) new 2x4 Maxim Industires Self-Flashings
Aluminum Miami Dade approved skylight fastened to code and manufacturer's specification:
NOA #18-1217.13
onal worK to De errormea unaer tins perm¢— ci
HVAC Ll Gas Tank ❑Gas Piping
Electric F]Plumbing 11 Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: S 2,400.00
❑_Shutters ❑Windows/Doors
Generator 0 Roof = Roof pitch
S Ft. of First Floor:
Utilities:nSewerOSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGerald & Frances Amorosana
Name: Dulce Lara
Address:1539 NW Buttonbush Cir
Company: Total Roofing Systems -The Metal Roof Experts
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.561-784-3444
Address: 3140 SE Waaleer St.
City: Stuart State: FL
Zip Code: 33497 Fax:
Phone No. 772-410-9116
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: maria@themetalroofexperts.net
State or County License: CCC1332346
If value of construction is $2500 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:
Addr s:
City: State:
City
Zip: Phone
Zip:
_State:
_ Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applic ble
BONDING COMPANY: _Not Applicable
Name:
Name:
Address: 3140 SE wasleer SL
dress:
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 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 dp 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 our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF P41 rr" jB&__I']
STATE OF FLORIDA
COUNTY OF Rwr-n 2
The forgoing instrument was acknowledged before me
this7M�ayof c#�ys 20a-Oby
The forgoing instrument was acknowledged before me
thisc9-dayof trAIV 2020by
Name of person making statement
Personally Known OR Produced Identification
Name of person making statement
Personally Known X. OR Produced Identification
Type of Identification
Type of Identification
Produced
i
Produced
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17