HomeMy WebLinkAboutPermit Appl for 1213 W 1ST STAll 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: R000fing
PROPOSED IMPROVEMENT LOCATION:
Address: 1213 w 1 st st Fort Pierce FI 34982
Property Tax ID #: 3404-501-0367-000-7
Site Plan Name: Hopper
Project Name: Hooper
Lot No. 9,18,20
Block No. (42 -
DETAILED DESCRIPTION OF WORK: I
Remove eating roof cover
Install new peel and stick underlayment
Install new IKO shingle
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters Windows/Doors _ Pond
_ Electric _ Plumbing
Total Sq. Ft of Construction: 2832
Cost of Construction: $ 13,600
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor: 2832
Utilities: —Sewer a"Septic Building Height: 8'
OWNER/LESSEE:
CONTRACTOR:
Name Paul Hopper
Name: Mauricio Orellana
Address: 1213 w 1st st
Company: One Construction & Roofing
City. Fort Pierce State: F L
Zip Code: 34982 Fax:
Phone No. 772-876-0034
Address: 2766 sw Edgarce st
City: Port Saint Lucie State: FI
Zip Code: 34953 Fax:
Phone No 772-240-9497
E-Mail:N/A
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail oneconstructionservices@yahoo.com
State or County License CCC -1330623
if value of construction is 2500 or more, a RECORDED Notice of commencememt is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
Zip: Phone:
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 Ipnrfpr nr nn attornev before commencine work or recordine vour Notice of Commencement.
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Signature of Contractor/License Holder
Signature of -Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF_!'� ,
COUNTY OF --
Sworn to (or affirmed) and subscribed before me of
Sworn to or affirmed) and subscribed before me of
Lslcal Presence or Online Notarizationical
Presence or On Lne Notarization
this t flay of /�,1k=5 2020 by
this J01ayof tA% 2020 by
Name of person making statement.
Name of person making statement.
Personally Known is OR Produced Identification
Personally Known L-'-- OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sig ature of Notary Public- State of Florida)
(Signature of Notary Public- State f f lord_ _ _ _
Commission No. �I PAULME BLAIR•ALEXANDE;
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p �j ;1rrr➢o.., PAULMEBLAIR•ALEXANDER
ommission No. la (Z \ + �{�yy Public State 8 Florida
`} Cbmission R GG 98703 t
Public • State of Florid
� .I) Commission ; GG 487031
My COMM. Expires Sep 6, 2024
ooh` My Comm. Expires_ Sep 6, 202
Bonded th�oughNationaivetaryAssn.
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tilraugnanon otary Asn.
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Rev. 5/b/20