HomeMy WebLinkAbout20201102_Building Permit AppiicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: RE -ROOFING
PRQP.O.SED.IIVIPR�VEMENT;LQC
Address: 114 S NARANJA AVE. PORT ST LUCIE, FL 34983
Property Tax ID #: 3419-540-0187-000-8 Lot No. 14
Site Plan Name: RIVER PARK UNIT 5 Block No. 48
Project Name:
DETAILEDtpESCRIPTIQN,QF
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REMOVE EXISTING ROOF AND INSTALL BUILT UP ROOF ONE PLY ON BASE SHEET SA AND ONE PLY ON CAP SHEET SA
New Electrical Meter Second Electrical Meter
CONSTRUCTION 1NFCRMATIQN.
3y.
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 Pitch
Total Sq. Ft of Construction: 3969 Sq. Ft. of First Floor: 3969
Cost of Construction: $ 8500. Utilities: —Sewer _ Septic Building Height: 9FT
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0NER/L<ESSEE:'
�o N TRACTQ
NameJOSE M AMAO
Name:ALBERTO MUNOZ
Address: 114 S NARANJA AVE.
Company:CONFORT BUILDERS, LLC
City: PORT ST LUCIE, FL State:
Address: 393 NW STRATFORD LN
Zip Code: 34983 Fax:
City: PORT ST LUCIE, State: FL
Phone No.
Zip Code: 34983 Fax:
E -Mail:
Phone No 772 224 9110
Fill in fee simple Title Holder on next page ( if different
E -Mail COBUILDERS15@GMAIL.COM
from the Owner listed above)
State or County LicenseCCC1328737
If value of construction is 2S00 or more. a RECORDED Notice of Commencement is reauired.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
STATE OF FLORI
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Address:
COUNTY OF LQr
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Name of person making statement.
Address:
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City:
Personally Known OR Produced Identification
City:
Type of IderyLtfication 1
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Zip: Phone:
Prod ed
Zip: Phone:
Jason Hend
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 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 Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI q
STATE OF FLORI
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COUNTY OF LQr
Sworp,to (or affirmed) and subscribed before me of
Swo o (or affirmed) and subscribed before me of
Online Notarization
C/ Physical Presence or Online Notarization
_ Physical Pres ce or
day of � 2020 by
)— day of vJ , 2020 by
this—') --day
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Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Id tifica ion
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Type of IderyLtfication 1
Y D'' JQ.� l_�Ca^
Produc tCQ
Prod ed
Jason Hendry
Jason Hend
(Si ure of Nota y Public= t oda)
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