HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST:BE.COMPLETED FOR APPLICATION TO BEACCEPTED f�/
Date: P 7 Permit Number: / / lq,� -
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Building Permit Application FEB 1 ZOi7
Planning and Development Services
Building and'CodeRegulation DivisioP
2300 Virginia A.venue,Fort Pierce FL 34982
Phone: (772):462-1553 Fax:(772)462-1578 Commercial Residential .X,
PERMIT APPLICATION FOR: ROof
Address: 4687 OLD DIXIE HWY, FORT. PIERCE, FL 34946
Legal Description: PLAT OF INDRIO-UNIT ONE-BLK 19 LOT 2
Property Tax ID#: 1416-601.0076-000.8 Lot:No.
Site Plan Name: Block No. 19
Project Name: F.REDDIE MAC
Setbacks Front Back: Right Side: Left Side:
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RE-ROOF i(SHINGLES& FLAT)
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CN aB+rc 6S�TRUaCTtION INFORMATION x �' - r�
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Additional work to -e nertormPrii 1 inclprthis permit check all. apply:
0HVAC .Gas Tank Gas Piping M_Shutters ❑Windows/Doors'
Electric ❑_Plumbing []'SpTinklers ❑Generator Roof 3:12 Roof pitch
Ov00c�.
Total Sq. Ft of Construction:= r�lo 17n U S .Ft.of First Floor:
Cost of Construction:$ �, �• 0 Utilities:�Sewer F]Septic Building Height:
`OWN ER/LESSEE` CONTRACTOR r 3
Name FEDERAL HOME LOAN MORTGAGE CORP'(FREDDIE MAC) Name: DAVID JOHNSTON
Address:225 E ROBINSON STREET STE 660 Company: REO RENOVATORS&ROOFING
City:,ORLANDO State:FL Address: 1:039'BUCHANAN STREET
Zip Code:..32801 Fax: City: HOLLYWOOD State:FL
Phone No. Zip Code: 33019 Fax: 954-251=1134
E-Mail: Phone No: 954-689-7626
Fill in fee simple Title Holder on next page(if different E-Mail: SERVICES@REORENOVATORS.COM
from the.Owner listed above). State or County License: CCC 1329689
If value of construction is$2500 or more,a RECORDED Notice of Commence.inent.is required.
DRMATIO 5UPfPLEIVIENTALCOiV5TR3UCTI0N LIENkLA; INF, �Ntt �
DESIGNER/ENGINEER: w X Not Applicable MORTGAGE COMPANY: X_Not Applicable
Name: Name:
Address: Address:
City:. . State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 Twill,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
com cin _work rcling your Notice of Commencement.
s
Sigftttrre ofOwner/Lessee/Contractor as Agent for Owner Signature of Contractor/ " ense Holder
STATE OF NAWB _Pe0S STATE OF.FLO
COUNTY OF :COUNTY OFQ.�1r�AQ��
The forgoing instrum nt was acknowledged before me The forgoing instr ment was acknowledged before me
this ay of. 20 Eby -this�day of 20 .by
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(Name o pers acknowledging•) (Name of person ackn dging)
at o ota ub ic-_State of+forida (Signature of Notary Public-State f Florida).
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Personally Known OR Pro uced Identification P.ersonall}i Kno n R o u
Type of Identificatio _ ��yJ;STATEOFTM
Type of Identifi atio�Rrq�luced ;fWM �,tP PUB i;_° `�; Notaryublic-:eeop
f FloridaCommission No. � OTARYF�fBI Commission No :. • mmisslon( 7623MYCOMMZ0 �,f moo;= My Comm.Expir21,2019
°F"0" f Assn.
WNW
Revised 07/15/20 --=�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
-DATE r� -
COMPLETE
INITIALS