HomeMy WebLinkAboutPermit Application All APPLICABLEJNFO MUST Bic COMPLETED FOR APPUC ATICiNV:!Q"BE ACCEP'TEO.
Date September 14,202t Permit Number
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Building IPermit Applicatin
P/onnrrig:ond eveloprrieni SerirJres
Suildrogandtode:, i4idationpivWon CC)t' imerCle � C';StC��I1 1 .{ x
2300.Viryinio Avenue,Fort Pierce FL 34982
Phonet{772}4624553 Fax:1(772)462-x578
PERMIT APPUC�4TION FOR' Ronald Zakarin and MiCh��l b er ,
Address:5312 Pates,Pines C'rrcte
Property lax iD#: 131 2-80'1-0082-000-8 Lot No.279
Site'.Plan Narrre ,HOLIDAY,PINES 5/D-PHASE It-B-LOT 279 Block No.
:Project Name. Zakarin;Ronald
me
MEN
Re=hoof'=Asphalt Shingle>�Flat Roof
„New Electrical Meter Second Electrcal:Meter
OEM, INFORIVJI�
d
.Additional cork to:be performied "under this permit-check ail that appI''
Mechanical �_Ges Tank Gas Piping: .`. w Shtutters Windows/Doors Pond
Electric Plumbing Sprinklers generator: Roof ( Pitch:
Total Sq.Ft of Construction: 3400 $0 Ft.of First Floor:
Cost.of Construction."$ 13.900.00 Utilities: Sewer Septic', , So.ding'Height:
Mj
I IN
NameRonald,2akarin`and ttteam
lichaelKotler Name:James t oatH ht
Address: 312,Paten P1nes,Circie Corripany:Atl Phase Roofing lna.
City Ft.-Pierce State; Address 3705 Shares Place#3
Ztp Code: 34551 Fax- City.West Palm Beach State:F
Phone N061.3X6297..' Zip Code: 33404 Fax:
E�rviall:rzakaiingkikaeiniegal.com Phone No561:863.9596
�tll in fee:simple Title Holder ari next page",,( different E=Mali Jackie r@sauthf#roofing.co�n ,
from the,t3wner listed.al+eve} State orCoun"ty License =ll 31229'
if vaiiue of construction is MOM or more,ar RECORDED,Notice of Corr mencenent is..retiuired,..
tf value>of JJAVC is$7,500 or more;a;RECORDED Notice of ComMencement is required.
P. : �(7NST
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DEStGNERjENGINEER: Nat Appt catsle, IVIORTCwAGt:COMPANY.: Not Applicable
Name:
Nprne
Ad�ress R�tdress
City = .. State; City .. State:
Zip.: Phone Zip °Phone
Fi :SENItLE TITRE HQ'L17'ER RJot Applicable BC?ND{Nib CCIM.PANYz Not"Applicable
Name: Name.
Address Address.:
City: 'City:
Phone: Zip. ;Rhone:
C?1NNER/'CC)NTRACTUR AFFIDVITt Appiicattitn is hereiay made to obtain a permit to,do tha work and installation as indicated.
1 certify that no worker installation has commenced prior to the.issuance of a',permit.'
St. ! de Countyy makes no representation that is granting a permit will authorize the ermlt holder.ta build the subject structure
whic.%I in caritilct with any applicable Home Owners Assocratron.rules,bylaws or and covenants.that may restrict or prohlbit such
structure.please consult with your.Home Owners Association;and-review your deed for any rastrictiarrs which may apply.
In consideration of the;granting of this requested permit,l do hereby agree that i vuill,in all respects;perform
'the work
yn accordance with'ihe approved pions,the l+torida"pudding Codes-and st.Lucie County Amendments:
The foliow�ng;building permit.spphcat ans are,exempt from undergoing a full cancurrency review ,roc m.additions,
accessory structures,swirrsming pools,fences;walls,;signs,screen roams and accessory uses>wan other non-residential use
WARNING TQ CiWNR:Your failure to Record a.Notice of,Commencemeatrrxayrsuit in PaYi»g twice for
icnproarements'#o your property."A Notice of Commencerner►t must be,
recorded to the public records of 5t.;
t.ucie County and pasted c�n'the jabsitebefore fihe:fi`rst inspection.if you irtend:ta:obtafnflnancing,consult:
ui'it lend ar an.attorne :before;comer encrr► :work or record n :oti"Notrc�'o�Caritrrlenr"ement.
Sign" re er/Lessee%Contractor as Agent far Owner 5inatur of.;ContractorJlicense:Holder';
STATt:of LQRi A STATE 60 FL- A
COUNTY
C3F cr�uN�rtrFta irrc
worn to or affirmed)-.and subscribed before me of 5+nra rs to{gar affirmed):and subscribed;before me of
J Physical Presence°ar Online Notarization- Physical Pre ence or Online Notarization
this._ day of= �'r� �r 2t}20 by this clay of ( C-' 1 �( - .t2_01 by
Name of person making statement. : ;Name of person►riaking stater9nent.
r `"..
PersanaUy Kttawn t E�Pro ti is ly Knoa CIR Produced Identification
�8i51t�iNllAk
Type of Identiticatian. � R1!.CQINMl9S t e- p dentificadon
Produced L liligSc, iy48, u
{Srgnatu a of Notary Public F i nator of ata Ru li ofI
,Jq�el�ne c u en
£ammissfian Na - _.: w t5st . n uiS7
mmissia a " COMMON
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:� FlES.:luiy 15;,xffi24 �..:.
.EXPIRES;Jett. 2023
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