HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: c RECEIU D FEB Permit Number: �l0a�d�f ro
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: Roof
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Address: 789 SE Hidden River D.
Legal Description: HIDDEN RIVER ESTATES BLK 1 LOT 23(OR 3524-1592)
Property Tax ID#: 3427-701-0024-000-6 Lot No.
Site Plan Name: Block No.
Project Name: 789 SE Hidden River Garage and Playhouse Roofs
Setbacks Front Back: Right Side: Left Side:
[ I= 1LD DCRIPTION (3F Wt3R
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Remove and replace roofs on playhouse. Main house roof replacement on separate
permit.
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CC}NSTRIJGTItN INFOR�1tAT10N
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Additional work to be nertormed under this permit—check a appy:
❑HVAC Gas Tank Gas Piping In Shutters ❑Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator Roof 612 Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ �'6OJ Utilities: Sewer❑Septic Building Height: c9
01iUN ER/LESSEE CONTRA OR A
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Name Jeff Janocsko Name: Michael Walsh
Address:789 SE Hidden River Dr. Company: Michael Kevin Walsh Roofing, Inc.
City: Port St. Lucie State:FL Address: 3520 SW Armellini Ave#C1
Zip Code: 34983 Fax: City: Palm City State:FL
Phone No. Zip Code: 34990 Fax: (772)781-0901
E-Mail: Phone No. (772)781-0900
Fill in fee simple Title Holder on next page(if different E-Mail: walshroofing@bellsouth.net
from the Owner listed above) State or County License: CCC1330084
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPC.EMENTAL CQNSTFt1JCTI,aN LIEN LAIN IN {7RNItTI�N ;
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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.
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' n wn ssee/Contractor as Agent for Owner 1gnat of Contractor License Holder
STATE O LORI A STATE OF FLORIDA
COUNTY OF COUNTY OF )4(>'C�if\
The forgoing instrument-was acknowledged before me The forgoing instrume`�t was acknowledged before me
this LL L%day of 20 Eby this a ay of is 20 -V,-7 by
oSC M i C L O,e,
(Name of person acknowledging) (Name of ers n acknowledging)
(Signatu e o N ry Public-State of Florida) (Signa e o tary P blic-State of Florida)
PersonallyKnown OR Produced Identification 1Ly KnowrL OR Produced Identification
Type of I en i roduced Type o Identificati n Produced
Commission No. ���j EVJJOHNSAFFIOTI 'r: �P ,:,,,. )IOHNSAFFIOTI
.••gid' ommission No. MA
MMSION#GG 039979 MY COMMISSION#GG 039979
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2020 *� %a EXPIRES:October 22,2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW .REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS