HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12103/2020 Permit Number:
0
LUAft
LF Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34981
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Re-Roof: Shingle 2 Metal
PROPOSED IMPROVEMENT LOCATION:
Address: 17080 Hammock Lane PSL, FL 34987
Property Tax ID tt: 3211-811-0003-000-8 Lot No.3
Site Plan Name: Cloe Block No.A
Project Name: Cloe
DETAILED DESCRIPTION OF WORK:
Re-Roof Shingle 2 SvCrimp 26g Metal
New Electrical Meter ''IC, Second Electrical Meter 'jIA
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 _Sprinklers ___.Generator _Roof 5/12 Pitch
Total Sq.Ft of Construction: 1978 Sq.Ft.of First Floor: N/A
Cost of Construction:$ 11,900.00 Utilities: —Sewer _Septic Building Height: loft
OWNER/LESSEE: CONTRACTOR:
NameVincent Cloe Name:Anthony S. Bono
Address:17080 Hammock Lane Company:Borgzinner Inc.
City: Port Saint Lucie State:FL- Address:1160 W. 13th Street
Zip Code: 34987 Fax: $414 City: Riviera Beach State:F�
Phone No. ',!A Zip Code: 33404 Fax: alp,_
E-Mail:noemail@gmail.com Phone No561-848-3402
Fill in fee simple Title Holder on next page(if different E-Mail tony@borgzinner.com
from the Owner listed above) State or County LicenseCCC 1332224
If value of construction is 2500 or more,a RECORDED 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:
DE5IGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: ? 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:
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.
1n 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 retarded in the public records of St.
Lucie County and posted on the jobsite before the first i pection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or rycording your Notice of Commencement.
A i--,-
g Own /Lessee/Contractor as Agent for Owner 'gn tractor/License Holder
STATE FLORIDA STATE OF FLORIDA
COUNTY OF P-M BEACH COUNTY OF PALM BEACH
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization X Physical Presence or Online Notarization
this aid day of D—mboi 2020 by this d day of o—moer 2020 by
Anthwy S.Bono Anthony S.Bono
Name of person making statement. Name of person making statement,
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
1
(Signs re of Notary Public-State of Florida) (Sign Lure of Notary Public-State of Florida)
Commi iop• Com I)
;�,.... M1E L.STE�/E .•....,� rTEPHANIE L. TEVENS
COMMISSION 0 GG S10270 *. :�: MY COMMISSION#GG 910270
REVI UPERVISOR PLAr MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.