HomeMy WebLinkAboutPermit Application for 2009 N 42nd StreetAll 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 Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re- roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2009 N 42nd St Fort Pierce FI 34947
Property Tax ID #: 2406-501-0035-000-4
Site Plan Name: Horne
Project Name: Horne
I DETAILED DESCRIPTION OF WORK:
Remove existing roof cover / shingle
Re -nail existing deck to code / install peel & stick underlayment
Install new Architectural 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
_ Electric _ Plumbing
Total Sq. Ft of Construction: 2,2,00
Cost of Construction: $ 12,000
_ Sprinklers
Lot No. 9-10
Block No. 3
Windows/Doors _ Pond
Generator Roof 5/12 Pitch
Sq. Ft. of First Floor: 2,200
Utilities: —Sewer _Septic Building Height: 8'
OWNER/LESSEE:
CONTRACTOR:
NameEvelyn Horne
Name:Mauricio Orellana
Address:2009 N 42nd St
Company: oneconstructionservices@yahoo.com
City: Fort Pierce Stat0—L-
Zip Code: 34947 Fax:
Phone No.772-783-0045
Address: 2766 sw Edgarce st
City: Port Saint Lucie State: FI
Zip Code: 34953 Fax: N/A
Phone No 772-240-9497
E-Mail oneconstructionservices@yahoo.com
E-Mail:N/A
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CCC-1330623
it value or construction is z:wu or more, a KtcuKutu Notice of Commencement is required.
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
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
F E SIMPLE TITLE HO R: — Not Applicable BONDING CO Y: Not Applicable
Name: Name:
Address: Addres .
City: cit
Zip: Phone: Z' 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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
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