HomeMy WebLinkAboutTobiasz 113 SE Calmoso Dr_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 Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ((2(C)0
PROPOSED IMPROVEMENT LOCATION:
J
Address: k1 S 5r_— I._); i FL. 5c4gY3
Property Tax ID #: .34 1cl - 5So '0CC1q -- C)cx) Lot No.
Site Plan Name:
Project Name: i v
1---- I 3 5C aIoxfxl 'De
DETAILED DESCRIPTION OF WORK:
Block No.
121eyNY ve. 0'x 15A t n h A-ecl
OAC r l(,WYwzna- "4c,
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: ZS U(_+ Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Z A Z Pitch
Cost of Construction: $ )S11 ,1000 Utilities: —Sewer —Septic Building Height: /0 ;
OWNER/LESSEE:
CONTRACTOR:
Name bcco),ei %ZAcYY cd 'Tc"&5-t- Jr
Name: Douglas E. Roe
Address: 12 5 (_clmC,50 tom'
Company: Code Red Roofers, Inc
City: State: FL_
Zip Code: 30W Fax:
Phone No. L- 215--G5 -33
Address: 3341 SE Slater St
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-287-2829
E-Mail: GiCrfl�e I tom►-j;(xS��J,,�hod
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail permits@ code red roof ers.com
State or County License CCC1325674
IVtl1UC ui consLrucuon is c:)uu or more, a Kt1LUKutu Notice of 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:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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
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
lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor Zs A ent for Owner
Signature of Contractor/License Holder
STATE OF FLORJDA��, _ j
COUNTY OF Iwl� II-`—
STATE OF FLORIDA
COUNTY OF j 4 2�
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
t I � day of�JLi , 2020 by
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produce
Produced
(Sign a of No y Public- State of Florida)
(Sig atur of/Notts Public- State
Com fission No. °°�� AWFORD
° K&A�J CR
My COMMISSION # W265055
IRES October 03, 2022
Com io C— =°`�'PU�� KE 'AN CRAW CURD
s n No. ZCn My�f�el�SloN
N"�°FF O e� FXVIRES October 03. 2022
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.