HomeMy WebLinkAboutBuilding Permit Application • � 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: VS n. Permit Number: 11 d 0 1d
RECEIV__0 JAM 00717
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
.PERMIT APPLICATION FOR: Roof-
P taPOSED IMPRC4UEMENT WcAT1(?N
Address: 789 SE Hidden Rd Port St. Lucie, FL 34983
;Legal Description: HIDDEN RIVER ESTATES BLK 1 LOT 23(OR 3524-1592)
i
Property Tax ID#: 3427-701-0024-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Janoscko Reroof
Setbacks Front Back: Right Side: Left Side:
'DETAILED`DESCRIPTION QF ORK
4
� . .. . .
Remove and replace roof on main house CvVI ( Yl,eft; C%
C4N5TRUCTION INFOR,MAT. IQ'N
-itiona work,.to e_ a orme un_ ert'is;:.,X . . _ _ ,
permit—check all apply:
1]HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator W1 Roof Roof Roof pitch
Total Sq. Ft of Construction: 4,000 SIn
of First Floor:
Cost of Construction:$ $35,575 Utilities. Septic Building Height: 22'
Ci1NNRjLESSEE CO.NTRAC" OR:
Name Jeffrey Janoscko Name: Michael Walsh
Address:789 SE Hidden River Dr. Company: Michael Kevin Walsh Roofing, Inc.
City: Port Saint Lucie State:FL Address: 3520 SW Armellini Ave
Zip Code: 34983 Fax: City: Palm City State.FL
Phone No.(772)370-0728 Zip Code: 34990 Fax: (772)781-0901
E-Mail: Phone No. (772)781-0900
Fill in fee simple Title Holder on next page(if different E-Mail: walshroofing@bellsouth.net
from the Owner listed above) State or County License: CCC1330084
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPIEM ENTAL CO S-TRUCTIOtU LIEN LA1IV I�IFQRMATIQN ;
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,
alccessory 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
ign u Ow J essee/Contractor as Agent for Owner Sign a ure lff ntractor/ icense Holder
STATE OF FL011I1* STATE OF FLORIr1A
COUNTY OF J� �tl C f--& 6 ' COUNTY OF rM Tto Co
The for oing instr nt was acknowledge before me The forgoing instrument was acknowledged before me
this day of yLV(jvt_ 20 by this 6- day of SIR V1y��2.1/ ,20 12 by
(Name of perso knowledging) (Name of persona nowledging)
( ignatu of Notary Public-State of Florida) (Signa ure of tary Public- ate of Florida)
Personally Known Y>v,,, R ro u.M ,, ication Perso all nown OR Produced Identification
Type of Identificat` 1'�=P 0 d EedMY COMMISSION#FF068011 Ft Type o dentification Produced
EXPIRES:November 3,2017
.`,',o� Bonded Thru Notz ubli nderwriters Y'P��. JAME�
Commission No. „ ' Commission No. ,4` Ygb
;*: Y C0% ISS Oo3011
ro EXPIRES:November 3,2017
a <''•' d Thru Nota Public Undervrriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE �14r�1
COMPLETE
INITIALS