HomeMy WebLinkAboutBuilding Permit Application 1
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� t��'� Permit Number: ��d'•�"�aa3
RECEIV7 D 017.01
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
PhDnL-(772_)4$2-1:553 Fax:.(772)462-1578 :Commenia1 Residential x
PERMIT-APPL[CAT[ON FDR: Roof 1111-1-
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Address: 14447 Cancun Avenue , Fort Pierce FI 34951
Legal-Description: Title#61348602 and#61292589
span ishr lakes;.fairways=
PropertyTaxlD°#: 130 0001— 4®O-C) Lot.No.:
Site Plan Name: spanish lakes fairways Block No.
Project Name: SPANISH
Setbacks Front Back: Right Side: Left Side:
iI37
7.1..'
< „ 0, �4— 4........ .k 1
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'REMOVE EXISTING ROOF MATERIAL_
INSTALL PEEL & STICK UNDERLAYMENT
INSTALL METAL ROOF
Adcl
itiona work'—to—'.b e. e .Grmecf: 'und, .er t.Is permit-e=ec 'afr- a =appy:
QH1/AC Gas dank t as Piprrrg Shutters Windows/boors
Electric 0 PlumbingSprinklers OGenerator Roof 312 Roof pitch
Total Sq. Ft of Construction: 1500 Sq, Ft. of First Floor: 1500
Cost of Construction. &,BDD_DO Utilities; Sewer.: 5epb 13uiidin.941 ht: $
'w`" r i;,.rr is nt 2F: f +tF� Smrr -, sir SF f +"
1 �j t y fir. r S •a to + I ,,•
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NameJOSEPH DUGETT Name: MAURICIO ORELLANA
Address:14447 CANCUN AVENUE Company: ONE CONSTRUCTION&ROOFING CONTRACTORS
City: FORT PIERCE State:FL Address: 2766 SW EDGARCE
Zip Code: 34954 Fax-N/A City.PORT SAINT LUCIE State:FL
Phone Na.908-4fi3.33QfJ;. Zip Code:349x3:. Fax:=NfA
E Mag,,.Y/A Phione.N . 772-5 K9-2449
Fill in fee simple Title Holder on next page( if different E-Mail: ONECONSTRUCTIONSERVICES@YAHOO.COM
from the Owner listed above) State or County License: CCC-1330623
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL COIVSTRU'CTION IEf '_LAW I h, RMATIONV.
�.._ =�...3.h--�. ,i.�r�`.i, ..,:.•v d--.`�,7.�, �F,..;''��` ...::-e;t. :'* .':r"`},� �,..�-` ,�u�..,'e+.� .sh, -'3'..�r �`=-�'..ar.. z�:r- .35±.•- �-1 _ ',s'r`
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Nan ie: Mame:
Address: Adclress�
City- State: City': State_
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDS . _Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: -at�r
Zip: Phone: Zip: Phone:
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 thepermit 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.
ln.eorrsideration of the,grariting of tfris rgUestrrrtit,I do herefy agee.tPtat h: cftl, o;all,res peC
.perfurm th'e`work
7n,accordancewith.the approved plans,the Flozida;Building bodes a d'St:Lucie Co4a ty ArwendJrxerxts.
Thefollow ng building permit applications:areexempt 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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded 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.
s
Signature of Owner/tessee/Contractor as Agent for Owner -Signature of Coritractor/ticense'Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF F.AINTUICIE
The for_going,instrumentwas acknowledged.before.me.: The.forgoing,instrurpentwasacknowledgedbeforeme
this day of �c�, j>y t1% 0� day ef` 0"C� .201 �-7 by
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(Name of person acknowledging) (Name of person acknow dging)
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ASigna -Natz:ry: 4SVIliic-Stat'e:of�F[brida =;(Sig»ature of tary`Publi --sStar3e-:ufFlorida;)
Personally Known -OR Produced=Identification Personally Known OR-Pvodu Identifcation
'Type of1dentificatlon`Produced Type of'Jdentffication Produced ' Z t
Z _ 11- o� �r;(Sea ALTER C%0k.9F�
Commission No. (Seal) Commission No. _r;
Pit\' (0MMiSS10N#FF92 1
EXPIRES December 17,Zf 9
(4a/)3P3.Os S3 Florldallotar Senico.com
Revised`(7[1-5/20 4
R€Vr€WS FROIVT ZOWKI`G SUPERVISOR PLAINS VEGETATrou SEA TURTEE fVFANGROV€
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
-INITIALS