HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST tBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / 0'1 V ::�fp Permit Number:
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OCT 16 2020
Building Permit Application Ptrmitting Department
Planning and Development Services 5t, Lucie County
Building and Code Regulation Division Commercial I Residential XXX
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: 0?
PROPOSEQ 14MPR011EMENT LOCATION
Address: 706 Anita ST., Fort Pierce, FL 34982-4020
Property Tax ID#: 3403-332-0008-00d-2 Lot No.16
Site Plan Name: Block No. c
Project Name:
QETAiLfD DESCRIPTIOi�! OF`V1lORK:
Remove existing shingles to deck. renail to current code,dry-in with peel-n-stick, and 5 V Crimp Metal Roofing system.
New Electrical Meter Second Electrical Meter
C:(�NSTRUCTIOU 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 4/12 Pitch
Total Sq. Ft of Construction: 1647 Sq. Ft. of First Floor: 1647 sf
Cost of Construction: $ 8,000.00 Utilities: —Sewer —Septic Building Height: 8 ft
OWNER/LESSEE ; „ CONTRACTOR
Name Francisco R Cordova Name:Richard Newland
Address:706 Anita ST Company:Richie the Roofer
City: Fort Pierce, FI. State:_ Address:8004 Georges Rd.,
Zip Code: 34982 Fax: City: Fort Pierce, State:Fl
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 License CCC058021
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVE is$7,500 or more,a RECORDED Notice of Commencement is required.
SUP LIEN A,W 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.
1 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 Owner Si of Contractor/License Ho
STATE OF FLOR STATE OF FLOWAI
COUNTY OF 1 U NP , COUNTY OFL�
Swor to(or affirmed)and subscribed before me of Sworatc46r affirmed)and subscribed before me of
Plysical Pr nc o Online Notarization P ysiCal Pre nc or Online Notarization
this day of 20 0 by t �`day of ? 2020 by
no
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Name of person making statement. Name of person making stat ent.
Personal) Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
L 'MoLdo a- -'Z;5T0L J�
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida ) ►t'Mo
�5W (SeatCommission No8 Commission No. Seal)
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REVIEWS FRONT ZONING SUt PLANS VEGETATION SEA TURTLE
COUNTER REVIEW V-f � REVIEW REVIEW REVIEW $1��
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