HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r � 11TUIR
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: RESIDENTIAL RER®OF
°PROVEM NT l A ION. 197SE FLORESTA DR, PS
Address: 197 SE FLORESTA DR, PORT ST LUCIE
Property Tax ID #. 3419-530-0170-000-5 Lot No. 19
Site Plan Name: Block No, 38
Project Name: SHINGLE REROOF
Of WORK,
REPLACEMENT OF A SHINGLE ROOF
New Electrical Meter Second Electrical Meter
LAD, MM. ON INFORMATION:
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 4112 Pitch
Total Sq. Ft of Construction: 1990 Sq. Ft. of First Floor: _
Cost of Construction: $ 11,500 Utilities: —Sewer _Septic
"1
Building Height: 0
-- ---- - -.. I - — vi vvn1111ci 6umenL is requlrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
NameGRAPE LEAF PARK LLC
Name:JOSE ROMERO
Address: PO BOX 6467
Company: ROOFS TO GO, INC.
p Y�
City: LAKE WORTH State: 'FL-
Zip Code: 33466 Fax:
Phone No.954-554-8525
Address: 3300 NE 13 TERRACE
City: POMPANO BEACH State: FL
Zip Code: 33064 Fax:
Phone No954-573-3532
E-Mail:NABILKISHK@AOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If VAIIIP of rnnctrn,+in is ')[nn .........,..,,. _ nrn�ne..-.. .
E -Mail ROOFSTOGO@GMAIL.COM
State or County LicenseCCC1328762
-- ---- - -.. I - — vi vvn1111ci 6umenL is requlrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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
with lender or an attorney before commencing work or recording your Notice-ofXommencement.
Signature o wner/ Lessee/Contra nt for Owner Signature of Contractor/Li
STATE OF FLORIDA
COUNTY OFBROWARD
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 16TH day of SEPTEMBER ZOZO by
Name of person making statement
Personally Known OR Produced Identification x
Type of Identification
Produred F,L DRIVERS LICENSE
ure of Ndtadv Pu
Commission No. HH029487
rida )loreley Greene
( Comm•i3HH019481
80&bru28,2024
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OFBROWARD
Holder
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 18TH day of SEPTEMBER 2020 by
-Tu . P, e C -D
Name of person making statement.
Personally Known OR Produced Identification x
Type of Identification
Produced FL DRI RS LICENSE
A
(Si a ure Aotaryk3lic-\Sio rids )
kr.� Loreley Greene
Commission No. HH029487 Ar, �s lfim.#HH02948
A Expires: Aug. 28, 20;
SUPERVISORPLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
DESIGNER/ENGINEER: `
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
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
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 your Notice-ofXommencement.
Signature o wner/ Lessee/Contra nt for Owner Signature of Contractor/Li
STATE OF FLORIDA
COUNTY OFBROWARD
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 16TH day of SEPTEMBER ZOZO by
Name of person making statement
Personally Known OR Produced Identification x
Type of Identification
Produred F,L DRIVERS LICENSE
ure of Ndtadv Pu
Commission No. HH029487
rida )loreley Greene
( Comm•i3HH019481
80&bru28,2024
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OFBROWARD
Holder
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 18TH day of SEPTEMBER 2020 by
-Tu . P, e C -D
Name of person making statement.
Personally Known OR Produced Identification x
Type of Identification
Produced FL DRI RS LICENSE
A
(Si a ure Aotaryk3lic-\Sio rids )
kr.� Loreley Greene
Commission No. HH029487 Ar, �s lfim.#HH02948
A Expires: Aug. 28, 20;
SUPERVISORPLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW