HomeMy WebLinkAboutPermit Appl for 6808 Wadsworth TerrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
1 vv
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Roofing
PROPOSED IMPROVEMENT LOCATION:
Address: 6808 Wadsworth Terrace Port Saint Lucie FI 34952
Property Tax ID #: 3415-705-0037-000-5
Site Plan Name: Hanna
Project Name: Hanna
X
Lot No. 36
Block No. 1
DETAILED DESCRIPTION OF WORK: I
Remove and replace eating roof cover
Install new peel & stick underlayment
Install new shingle IKO - cambridge
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 3020
Cost of Construction: $ 14,000
Sprinklers
_ Windows/Doors Pond
Generator _ Roof 5/12 Pitch
Sq. Ft. of First Floor: 3020
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Frank Hanna
Name:Mauricio Orellana
Address: 6808 Wadsworth
Company: one Construction & Roofing
Address:2766 sw Edgarce st
City: Port Saint Lucie State: _
Zip Code: 34952 Fax:
Phone No. 772-476-6977
E -Mail: NSA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
City: Port Saint Lucie State: Fl
Zip Code: 34953 Fax:
Phone N0772-240-9497
E -Mail oneconstructionservices@yahoo.com
State or County License CCC -1330623
va�uc vi wnau ULL U[I is cauu ur mure, a KrLvnutu wotoce ®T Lommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ N Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Pho
FEE SIMPLETIT HOLDER: _ Not Applicable
Name:
BOND( COMPANY: _Not Applicable
Nam •
Address:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
QWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
ertify 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 attornev before commencing work or recording vour Notire of Cnmmenrpment_
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A,6&tler—�Gkw_cw
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF � > t .i
COUNTY OF - N
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
al Pre ence or Online Notarization
(cal Presence or Online Notarization
this ay of C_ 0 _ , 2020 by
this day of n�k��� . 2020 by
Name of person making statement.
Name of person making statement.
Personally Known ��OR Produced Identification
Personally Known co-- "' OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signa ure of Notary Public- State of Floxidaignatur
of Notary Public- State of FI
PAULE7TE sulR•ALExAN
,, {,+,, PAULEM SLAIR•ALEXAN .
�' Notary Public - State of FI
Notary Public • State of �/ '1 . ®� .�
Commission No. ' �5 i�3 Ix Commission GG 997C
commission NGG 917431 mml55ion No. �-°-- ' , �,�,, Ay Comm. Expires Sep 6,
Expires
.7' Ay Comm. Expires Sep i,
8onled through National Notary
2 24 Bonded throw h National Nota
sn.
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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REVIEW
DATE
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DATE
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Kev. 3/ o/ Lu