HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n 2
Date: Permit Number: I v
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ilding Permit Application JUL.A2 4 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 613 BEACH AVE.PORT SAINT LUCIE FL 34952
Legal Description: RIVER PARK-UNIT 2-BLK 14 LOT 12
Property Tax ID#: 3419-510-0130-000-1 Lot No. 12
Site Plan Name: Block No. 14
Project Name: RE ROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
RE ROOF SHINGLE TO SHINGLE LC'o- SVv�ck ll - �oc�- w�� �Cat\LA l AAaC9
"'J'A W"M_ excs-h sti 1n,
CONSTRUCTION INFORMATION:
Additional work oe er orme under is perm) —check a a appy:
❑HVAC Ei Gas Tank ❑Gas Piping ❑Shutters ❑,Windows/Doors
❑Electric ❑ Plumbing []Sprinklers MGenerator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 10'400.00 Utilities: []Sewer❑Septic Building Height:
OWNER/LESSEE: 44 CONTRACTOR.-
Name Dibs US Inc Name: WAVIER Sous.
Address:2915 E Baseline RD Ste 109 Company: SOLIS ROOFING CONTRACTORS,INC.
City: Gilbert State:AZ Address: 1033 SW DALTON AVE
Zip Code: 85234 Fax: City: PORT SAINT LUCIE State:FL
Phone No.866-996-7264 ext.No.777 Zip Code: 34953 Fax: 772-878-4097
E-Mail: Phone No. 561-662-6622
Fill in fee simple Title Holder on next page(if different E-Mail: solisroofinginc(a),Mail.com
from the Owner listed above) State or County License: CCC 1330147
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN 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:
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 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signa ure of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF III
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _by this " day of '"Y 20 11 by
L 1AVILR SOLIS
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-St�,\Itle of Florida)
Personally Known OR Produced Identification Personally Known 1/ OR Produced Identification
Type of Identification Produced Type of Identification Produced �,�.�A�'�.�,y��
2o1�,RV P,e1 c, MAJANO
Commission No. (Seal) Commission No. * MyMONtFF181432
EXPIRES:April 4,2019
V Ge ices
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 2
COMPLETE 1 Q
INITIALS