HomeMy WebLinkAbout20201212_Building Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
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"_ Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE -ROOFING
PROPOSED IMPROVEMENT LOCATION:
Address: 3520 ROSELAWN BLVD FT PIERCE FL
Property Tax I D #: 2428-702-0017-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE ROOF SHINGLE (HIP ROOF)
REMOVE AND REPLACE BUILT UP ROOF (FLAT ROOF)
New Electrical Meter Second Electrical
Lot No.17
Block No.
— — — -�
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 3:12 Pitch
Total Sq. Ft of Construction: 2749
Cost of Construction: $ 8900.
Sq. Ft. of First Floor: 2749
Utilities: _Sewer _Septic Building Height: 9 FT
OWNER/LESSEE:
CONTRACTOR:'
NameVEGA'S HOME CONSTRUCION, INC.
Name:ALBERTO MUNOZ
Address:904 OSCEOLA DR.
Company:CONFORT BUILDERS, LLC
City: FT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.
Address:393 NW STRATFORD LN.
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax:
Phone N0772 224 9110
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail COBUILDERS1 5@GMAIL.COM
State or County License CCC1328737
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.
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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:
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 recordine vour Notice of Commencement.
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Signature of Owner/ L ssee/Contractor as gent for Owner
-Signature of Contract r/License Holder
STATE OF FLORIDA
STATE OF FLORIDAe.,
COUNTY OF
COUNTY OF fife
Sworn to (or affirmed) and subscribed before me of
Swopn to (or affirmed) and subscribed before me of
�- Physical Presence or Online Notarization
$µsical Prese ce or Online Notarization
Ahisday
this � day of FL , 2020 by
of _ev 2020 by
141he (A,
ae of person making statement.
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Name of person making statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Iden !fc ion ! _
Type of Identif' ion
Produced V
Produced
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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