HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO
1 ,MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Wes`' Permit Number:
LTLCC
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Shingle Re-Roof
PROPOSED.IMPROVEMENT LOCATION:
Address: 29 Lake Vista Trail Project
Property Tax ID#: Lot No.
Site Plan Name: Vista St. Lucie Bldg 29 Block No.
Project Name: Vista St. Lucie Bldg 29
DETAILED DESCRIPTION OF WORK:
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: j
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 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 74,289.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameTom Mcintyre Name:Jesus Vasquez, Jr.
Address:30A Lake Vista Trail Company:All American Roofing & Coating of FL
City: Port St. Lucie State:_ Address:340 SE Seville St
Zip Code: 34994 Fax: City: Stuart State:FL
q p 34994 772-781-4408
Phone No�2 U1 D' �¢�Q3� Zip Code: Fax:
E-Mail: Phone No772-781-4410
Fill in fee simple Title Holder on next page(if different E-Mailoffice @allamericanroofer.com
from the Owner listed above) State or County License CCC1329384
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:
DESIGNER/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
- i
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.
In consideration of the granting of this requested permit,I do hereby agree that 1 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 befp4,e'commencing work or recording our Notice of Commencement.
Signa e of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO�R,IDA . STATE OF FLORIDA
COUNTY OF M COUNTY OF MOLAIvt V_%
Sworn to(or affirmed)and subscribed before me o : )`i Sworn to(or affirmed)and subscribed before me of
7C+ Physical Presence or Online Notarizati q aoA:r; �Physical Presence or Online Notarizatio
this ,`lday of WA 2020 by n this day of JW 2020 by ¢°:gyp
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Name of person making stat ment. x Name of person making statement. LJ
Personally Known OR Produced Identificat = Personally Known �OR Produced IdentificatiType of Identification Type of IdentificationProduced
gnature of Notary Public-State of Florida ) ignature of Notary Public-State of Florida )
ommission Novi D (Seal) Commission No.GnG (Seal}
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20