HomeMy WebLinkAboutBuilding permit app ALL APPLI AIA AFF]O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �7 / Permit Number:
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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 xxx.
PERMIT APPLICATION FOR: Roof
3
PROPOSED '-M` ROVEMEwNT;LO ' f'I,ON
Address: 4303 Thousand Pines Dr., Ft. Pierce, FL
Legal Description: Thousand Pines Estates-Lot 13
Property Tax ID#: 2430-500-0013-000-6 Lot No. 13
Site Plan Name: Block No.
Project Name: Coniglio Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF•WORK
Remove existing roof and replace with new 5-V Crimp Metal panels.
CONSTRUCTION IN;FO.RMATI.ON p,
er this permit—check apply:workto a erorme
❑HVAC EiGasTank Shutter
s Windows/Doors ing Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 3,500 S Ft. of First Floor:
000.00
Cost of Construction:$ 12, Utilities: _Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Vanessa Coniglio Name: Juan Martinez
Address: 4303 Thousand Pines Dr. Company: Total Roofing Systems Specialist
City: Ft. Pierce n State: FL Address: 3201 SE Dominica Terr.
Zip Code: Fax: City: Stuart State: FL
Phone No. 772-834-3187 Zip Code: 34997 Fax: 772-872-8033
E-Mail: Phone No. 772-872-8030
Fill in fee simple Title Holder on next page(if different E-Mail: bonnie@totalroofingsystems.net
from the Owner listed above) State or County License: CCC 1330788
If value of construction is$2 100 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTALCQNSTRL)CTION LIE,N'LAW,INFO'RMATION
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,
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
commencing work or recording our Notice of Commencement.
r.Gtince—✓� C s
Signature of Owner/ essee/Contractor as Agent for Owner >Signat of Contrac icen der
STATE OF FLORIDA STATE OF IDA
COUNTY OF ���\{� COUNTY OF 1 Pr- \1�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this i�day of . 20 by this\ —day ofN�C2�t' ,20 \- by
(Name of p n knowledgi g) (Name of p on owledging)
(Sign at
f No ar_y Public-State of Flor da e )_ (Signatu e f No ery Public-S to of Florida)
Persona y Known OR Produce dentification Personal n
Type of Identi Type of Id nt'0- t"Produc6dET D.BRA ERAS
��e ,•`r°� �`c'; Notary Public-State ofJ�dsa
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° «`c': Notary Puboa- ,qi Florida ' ' ;•e My Comm.Expires ACommission q. + + - Commissi p p�m.Expir s p 15,2017 =;�, PF ommissiorr#FF 8PPCommission#FF 8405 �''%°��:°` Bonded Through National Not
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National o ary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW R E/V IEW REVIEW REVIEW REVIEW
DATE V11 � — ... .
COMPLETE
INITIALS Al-
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