HomeMy WebLinkAbout2648 Niagara re roof permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `iI ut ! ac) Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
0
PERMIT APPLICATION FOR: REQ®C � �� �� S_v
PROPOSED IMPROVEMENT LOCATION:
Address: ottD i A 6 Ur(A otVL oil ;ear t 5q
Property Tax ID #: i�as - `?a _ 10 91� - OW- Lot No. lc{ iS
Site Plan Name: Block No.51
Project Name: k0
I DETAILED DESCRIPTION OF WORK: I
i
r y- e~ CA
o rc u 6n k ; ►n4 • FL ` rl X I t
'tri h� <t St�noo /1- J G �G�D q 9 (Z G
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric — Plumbing i Sprinklers __.. Generator
Total Sq. Ft of Construction:
Cost of Construction: $ _I v)o -00
Sq. Ft. of First Floor:
Windows/moors _Pond
)� Roof 1 Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name D!,,w 5 "j" kkle m- LLC.
Name: i� + ae[ (,LLAe
-
Address:55a5 r)tr-r L.-% iI'
Company:fico+no
luc.
City: ry : cr-e. State: F L
Zip Code: "641 S Fax:
Phone No.'-1'i'c) aM-1` n4o
Address: ( ��f) 5 lr)
City: Vem 6&-1 d,
Zip Code: ) (1163L Fax:
Phone No
State:-�—It'
E -Mail:
Fill in fee simple Title Holder on neYt page ( if different
from the Owner listed above)
E -Mail CLIA b"*7 R ep
pnoa
State or County Licensees �icia7
9 �
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires.
if value of HAVC is $7,504 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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 paying twice for
improveme�oourroperty. A Notice of Commencement roust be recorded in the public records of St.
Lucie Counon the jabsite before the first inspection.I inten o obtain financing, consult
with feebefore commencingwork or recur t o Commencement,
Signature of Owner/ Lessee/Contractor as Agent for Owner 1&g4ture of Con`fractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY COUNTY OF_�3�rAn Rl�er
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this_J day of A ,1c a 2020 by
Sworn to (or affirmed) and subscribed before me of
___k,—Physical Presence or online Notarization
this L -L day of A9 , 2020 by
Name of person making statement. Name of person making statement.
Personally known OR Produced Identification 1 ��
Type of Identiflodtion
Produced
Laura Yererrd
Personally own OR Produced Identification
Typ4uce
ti#i ation
Pr, Lint
Notary Public
uViN
Notary Public- Stat Ida) $tate of Florida (Siture Notary Public-- State' *richn, 05tl�iljYl 1011 15My Comrrllssian Ires05109ommissa. �� f r (5� i0 mmission No. I ( 1 � Na CN11 GG 10
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED