HomeMy WebLinkAboutJAIME PETERS PERMIT APPAJI APPLICABLE JNF0 MUST BE COMPLETED FOR APPI iCATJON TO BE ACCEPTED
Date: 8f17120
Permit Number:
L0'
Building Permit Application
Planning and Oevvefopment Services
Budding and Cade Regufotlon iNvrsron
23DOVorgonooAvenue, Fort p+e eFL34982 Car7"IrnerclaJ_— Residents _
Phone: (7721 462-15S3 Fax: (772) 452-1578 — — —
FPE R PO IT APPLICATilOrq 111R. EROOF
Rf POSED IMPROVEMENT LOCATION: -
Address. 7106 DELANO AVENUE.- PIEFICE FL 34951
Property Tax I D 4. 1301-612-01 B D00-6
Site Plan Name= 7106 DE LAND AVENUE, FT, P'ERCE, FL 34951 — Lit No.�
Project Name= REF;OOF Block Flo- 127
DETAILED DESCRIPTION OF WORK. —
TAKE EXS STrIVC RQpF OFF AND REPLACE WrTH NEW 5V METAL ROOF
New EIectricaj Meter . Second Electrical Meter
C JN JR CTI # I IN FOR M ATI0N:
Additional work to be performed
under this permit -check all that apply:
_-Mechanical — as Tank `Gas Piping Shutters Windows/Doors Pond
Electric : Plumbing
— Sprinklers Generator ,Roof &12 pitch
TotRI Sq. Ft of Construction: 2,873
5q. Ft. of First Floor:
Cost of Construction: $ 1B,900
Utilities: — Sewer — Septic Building Height:
� NER/'LESSEE'
CONTRACTQR:
NarneJAIME PETERS
Address: 7106 OEi AND AVE
Name: LEZ DINENSERG —
Cry: FT- PIERCE
Company: FREEDOM ROOFERS
Zip Code; 34981
State: FL Addres.0575 US H Y 1, SUITES 1 8 2
Fax_
Phone No. 772,473-4973
City: �J`RO BEACH State; FL
E-Ma it =
p Zi Code: 32967
Fax: 772- 1 T-4459
Fill in fee simple Title Holder
Phone No772-318-460()
on next page if different E-Mail greatrcofs freedomro0fers.00m
€ram the Owner fisted above)
State or County Licenstx CCC13309M
v'al4le of construction is 2500,)r More, a RiECORDED Noticeof CMF tement
value c f HAYC is $7,SW nr more, a RZCORDCD
is required.
Notice of Co rn mencem is
ent required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,
DESIGNER/ENGINEER
Name:_
Address;
City.
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
_ --
Zip: Phone:_
x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name --
State.
Not AppI-Icable
Address:
City. State:
Zip: Phone:
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"
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucle County makes no representation that is granting a permit will authorize the ermft holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an cear enants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed or 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 0uilding Codes and SL Lucie County Amendments"
The following building permit applications are exempt from undergoing a full [onrurrenty review: room additions,
accessory structure, swimming pools, fences, walls, signs, screen roams 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 Ienider or art attorney before cornmenci nst work or recol:rgorr your Noti€e of Commencement"
actor as Agent for Owner 15tgnature of Contractor/License (folder
STATE OF FLORIDA I STATE OF FLORIDA
l_Oi" u
NTYOF iMdnRivEa CO�I11��1 7 OF INDANR14ER
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this '17 day of AUGLST . 12020 by
LEE OfNENBERG
Name of person making statement"
Personally Known 3_ 0R Produced Identification
Type of Identification
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or = Online Notarization
this +# day of '"LGUS* , 2420 by
LEE DOCWAG
Name of person making Statement.
Personally Known x OR Produced ldentifcadon
Type of Identification
ProduceA'1
(signature of Notary Public-
Signature of Notary Public- S
Commission No o-M55
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