HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED oo�� /
Date: 0- ) I �'D Permit Number: ' ��.,V� d � l
(i cffs RECEIVED
r OCT 16' 2020
Building Permit Application
Permitting Department
Planning and Development Services St.Lucie county
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: ���.,1✓c1 t �j� y�� -�— U� �;� ��
PROP`QSED:(N)PROVEM`ENT LOCATfON
Address: 8793 LONESOME PINE TRL
Property Tax ID#: 2323-701-0051-000-2 Lot No.16
Site Plan Name: Block No. c
Project Name:
DETAILED'DESCRIPTIONOF;INORK
Remove existing shingles to deck.renail to current code, dry-in with peel-n-stick,and re shingle with owens coming shingles.
Install (3) new skylights
New Electrical Meter Second Electrical Meter
ONS ,
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 4/12 Pitch
Total Sq. Ft of Construction: 3117 sf Sq. Ft. of First Floor: 3117 sf
Cost of Construction:$ 14,500.00 Utilities: _Sewer _Septic Building Height: 8 ft
OWNERjLESSEE r ; ' CONTRACTOR
NameAndres Falcon Name:Richard Newland
Address:8793 Lonesome Pine Tr Company:Richie the Roofer
City: Fort Pierce, FI. State:_ Address:8004 Georges Rd.,
Zip Code: 34945 Fax: City: Fort Pierce, State:FI
Phone No. Zip Code: 34951 Fax:
E-Mail: Phone No772-772-473-6197
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County LicenseCCCO58021
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
111 value of HAVE iv$7,51DO or more,a RECORDED Wake of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LEEN LAW INFORMATION
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 our Notice of Commencement.
"Signature of Owner/Lessee/Contractor as Agent for Ownergnature of Contractor/License Holder
STATE OF FL STATE OF FLO
COUNTY OE=== - ���Ci �- COUNTY
Sworn to - affirmed)and subscribed before me of Sworn t a�ed)and subscribed before me of
ysicaI Pr n or Online Notarization al Pr n e r Online Notarization
this day of 1 —� 2020 by this day of 2020 by
fame—of person ma7OR
tement. Name of person making statement.
Y
Personal) Known Produced Identification Personally Known )� OR Produced Identification
Type of Identification Type of Identification
Produced'"O Produced �s•40
0c °
(Signature of Notary Public-State of Florida) g";"o (Signature of Notary Public-State of Florida)
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Commission No.
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REVIEWS FRONT ZONING UPI R PLANS VEGETATION SEA TURTLE MA C3R97
COUNTER REVIEW IREJr:Vy REVIEW REVIEW REVIEW R IEVi S
DATE
RECEIVED
DATE
COMPLETED
eV. /15/20