HomeMy WebLinkAbout2626 Seneca Ave re roof permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:I/Ro cl Permit Number:
SST Luc
1 L
i 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
PERMIT APPLICATION FOR: f
PROPOSED IMPROVEMENT LOCATION:
x
Address: C-CA"PQ L
Property Tax ID #: H17 -s- V70a- 1014' C06 -i? Lot No.13 44d f
Site Plan Name:
Project Name:
Block No.
DETAILED DESCRIPTION OF WORK: i
L/ , IwA 1 1, /'11 Ur I LOFT ff /I s -v- G !%04 1L `i?
5- V rhr ,�, - -&A-1 06J -ti
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 _Sprinklers
Total Sq, Ft of Construction:
Cast of Construction: $
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
X, Roof 5 Pitch
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name IxTy oC-f-
Address:5 3 b 5 QMr RV 10
Compa n
p Y:
City: for,* I?,'efGQ State: IGL
Zip Code:3`kTs Fax:
Phone No-l-)2�- .11")- 13`1
Address: 3 I-%
City: Vn bbdo
Zip Code: 3�(1 v 0, Fax:
'- 1311
Phone Noa�1�
State:
E -Mail: dnotl I,,&(9) Q1VW.I . GOw1
Fill in fee simple Title Holde on next page ( if different
from the Owner listed above)
E -Mail .-dw( T)a (Imn;
I .(Own
State or County License
I t VduC vi l.u11]L1ULUUr1 IS z3uu or more, a KCL UKUt3J Notice OT commencement is required.
If value of HAVC is $7,500 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: Y ur failure to Record a Notice of Commencement y result in paying twice for
improvements to y roperty. A Notice of Commencement m s recorded in the public records of St.
Lucie Count n e�j,6� n�'obsite before the first inspecti u in d to obtain financing, consult
with len r gad eff a commencing work or record u e f Commencement.
Signafrurebf Owner/ Lessee/Contractor as Agent for Owner ignature of ConEr'actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF —_N,--AC-r\ _
Sw� ory� to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
t/ Physical Presence or Online Notarization Lf-Aysical Pres nce or Online Notarization
this —i -i day of C 2020 by this day of 2020 by
r► rn' rci E
Name of person making statement. Name of person making statement. /
Personally Kn n OR Produced Identification Personally Known OR Produced Identification L/
Type oV
ffcation Type of Identifi ation
Pro ucICProduce
s:
Laura Yerena
Notary Public Laura Yerena
(S u f Wotary Public- State o a) a on a (Signature of No a Public- State of r Notary i� is
� M Commission Expires 0 09/2921 y^ ��ti� State of Florid
Co ission o. J / (SealrAmmisslon No. GG 1 0mmission No. r E �3 / '
bommission Expires
Corrlrnlssion No. GG
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20