HomeMy WebLinkAboutevans permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/11/2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: REROOF
PROPOSED IMPROVEMENT LOCATION:
14A..- QA9A Pninri-n- f`.....+
Property Tax ID #: 1334-503-0010-000-6
Site Plan Name: Evans
Project Name: Evans
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
C CONSTRUCTION INFORMATION:
Residential X
Lot No. 8
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric — Plumbing _ Sprinklers _ Generator Roof �'- Pitch
Total Sq. Ft of Construction: _t_ Sq. Ft. of First Floor:�;��,
Cost of Construction: $ Qa®7soo Utilities: _Sewer _Septic Building Height
OWNER/LESSEE:
CONTRACTOR:
Name
Name: Richard Colletti
Company: Leakbusters Roof Repair
Address: fs 2J-I—q
City: State.
_
Zip Code: ` Fax:
Phone No.
Address: 6101 Buchanan Drive
City: Fort Pierce FL
State:
Zip Code: 34982 Fax:
Phone No 7723328450
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 2500 or more. a rtFrnRncn n�..+i,.e ,.: �,.._._____
E-Mail richiecolletti@gmail.com
State or County License 29763
c...cna 1. lcyuucu.
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:_
Address:
City: _
State
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
1%A/NICDI 1'n1UrnA# rr%M Arr.�...�
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
t I , . 11 �,,,,,, , , /Appl,Catlon is nereuy 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
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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signat re o Owner/ Lessee/Contractor as Agent for Owner
STATE OF LORjQ
COUNTY OF ``�
SAorp to (or affirmed) and subscribed before me of
Ph sical Pres ce 02020
e Notarization
this day of by
- , \mn i
Name of p son making tatement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -
Commission No.
-ida YAFHERiNE HAVENS
P;ly CQlUf'AISSIDN #GG165030
4,S( fflRES: DEC 04, 2021
onded hrough 1 st State Insurance
gig"nature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF-- �� Jr If —
Sworn to (or affirmed) and subscribed before me of
P ysical Presence r Online Notarization
this day of 020 by
r yr
Na ee of p n making statement.
Personally Known _1'/ OR Produced Identification
Type of Identification
Produced
r„ C!f . v1iSSIQi'd #GG765030
Commission No. r*% AgfrES: DEC04, P021
rough 1StStatp Insurance
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
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DATE
RECEIVED
DATE
COMPLETED
ev.