HomeMy WebLinkAboutBuilding Permit Application Pull APPLICABLE INFO MUST RE Cif PLETED FOR APP UCATION TO BE ACCEPTED
Owe- 12-21-2020 Permit N umbe r:
COUNTY
Building Perm It Application
Pbrinirig arrd DeveOi3wT nt Services
Bj.rf6sUroy e?pd Code Re9vk6m CDT srori CO M M erC is l _ Residential
23010 Vrrginna Avenw, Fort Fierce Ft 34
Phone; 1772)4E2-?551 Fax; (772)46 a-157$
PERMIT APPLICATI0N F0R,RE R00F
PROPOSED I P'ROVEMENT LOCATION: -
Ad d ress: 6019 AOON Its 1A PL
Properly Tax ID#- ; 410- -0375- 0-1 Li)t Na_37
Site Plan dame- — I81ock No. L
Project Name-
DETAILED DESCRIP7ION OF WORK:
REMOVE SHINGLE S00F
I N TALL PE EL & STICK UNUE RLAYM ENT F L16048 __ w
INSTALL S H I NG LES FLi 0674 _
New Electrical Meter _Second Electrical Meth r
' CON5TRLJCTION INFORMATION.
Additional work to be per#orrri d under th+!s Vermit—check all that apply:
Mechanical _(�as Tank _Gas Plplrtg _ShU[CerS _WindowslD09 rs
Electric _plu m tki ng —5 rinkler� _Generator Ro�F 15h 2 _ Pitch
2.229 5 Ft-of PI rst F loaf; 2,229
Total Sq. Ft��orrstr�etl�n; ��
Cos[of ConsmKtion: 10,500 Utilities: . .- Sewer _septi-C Building HeF81ht=8 FT
O N E RAE55 E E: COI TRACTOR:
Name Frank Maririb _ �— N arnC qOL AND WItEY --
Addrew 6019 Adonidia P L _ CDrnpa ny: SHO RE LI NE R 00 FIND
Clt,: FORT PIERCE _ State;J AddT-Rss: 197:a V GLE N DALE 5T R E&
zI p Code: 34,982 Fax; City: F 0 RT ST L.LSO I State-FL
Phone No, Zip 0?6e: 34967 _ Fax:
F-Mail. Phone N-o 7 -260-9565
Fill in fee sin-ole Title Hobcker nn next pa Re ( if d ifferent F-Mai I S HORE LINE ROOF ING LED YAHOO,OOM ,
f(Orn the C«vrner limed ab*We) State or Cwrt#y Lice,,,, 091 117O
R value of comstructio h is 2500 cw mare,a REODRDED NoOte of Commencemer't is required.
tf-h4tie of HAVC Fs$7,5v4 or more, a RECORDED Notice of Commenrement Is required-
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-.
DESIGN EFL/EN-13 MEER� _ Not App I ica file MORTGAGE CjMPANY; ! N-ot Applicable
Name: Name..
Address; _ - Addiress:
City: -, State, City; _ State-
2ip= Phone ZLp: Phone;
FEE SII PUE TITLE HOLDER: _ Not Applicable IDONDING COMPANY: _Nat Applio ble _
Name; flame;
Address; Address: --
City- City:
Zip; Phone: kls; phone,
OWNER/ CONTRACTOR AFplDW.- A0pliea#Ion 15 hereby made to obtairf a permit to do t1�pe work and I n5Wllation as indicated.
I cxrtify Lhat rtio wofk or Instal lation has commenced pricrr to tht issuance of a permit.
St. Lucie Cou"ma kc-.no rt vesencation that,s granting a permit will authuriae the ermit holcler to huYd tfre subject ShIl ture
which Is In conflla with an applicable Home Owners Aswcotion runes, bwl avus or an covenarr�that may reWlet or prohibit 5u[h
struCturC, PlMe COnSvIT with you r Home Owners Assaciatiun iarrd Qview your deed fW arYyr restrictions which may+apply.
rn-considerapon of the grand ng of this requested permit, I do hereby agree that I will, in all respects, perform the work
i n i�ccordarlce with the approved pl ans,the Florida flui Id'ing Codes and St- Lucie Inty Arnendments.
T+Ie fol1owiFig bUildirlg permit appl ir-atlons a re exempt from u ndergoing ik Full oortiCufrencV review:roam additions,
accessory+stxuctunes, swimming PooI$, fences,wal Is, signs, screen moms and accessory v;es I0 a-nother non-residential use
WARM N G TO OWNE R:Your failure to Record a Notice of Commencement may resLikt in paVing twlre for
i nn prove r e nts t-o yo ur p rope rty, A Notice of Corn mainceme rit artist be record ed i n the Publ i-C FQ-CWdS Of St.
Lucie Co Linty ain d posted on the jobs ite before th a fi rat i MS pectlon. I f Va u i nti,-nd to ci btain fin a nc i ng, Cons .I I t
with ladder or an attofney before comma acing work or record i ng you r Noti ce of Commencern ent
I
Siiik"Xre of Owner/L.essee{Cantra as AUnt for Owner Signature of Contiracto se Hold
STATE OF :FWRIM SLATE OF f'LCMItI�
COUNTY Of= €oUNTY Or—
two tIa for affirmedl and suWoribed bef"me*f Swor o i or ffffirmed k and sub"rited before me of
Physical PresMce os Onlll►e Noftiarization IL Pilysical Pre• oe or _ _Or`lirne Not�rizatlon
th�[r w f Q by #his L day+of by
IS4 gat
Name of person maki rig s em• t, Name-of person makings hem
Personally K-nawn OR PVoduced 1-drilti Feh" P rrWr1al lw K nvwn OR Produce Identifica r
Type of Identification PType of rod I-emificauon
Rr�ldu d E w
413
(Signature of Notary u Iic tale c?F Floridm I y ;Signature of Nita bl+c-State of flvri 6
Commission No. 9 � I� =� #� Commissifln ha. ' ISeal)
i
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RE�11 EWS FRONT ZONING WPE RVISOR PLAN 5 I VEGETATION SEA TURTLE MANG ROVE
COUNTER REVIEW REVIEW REVIEW RCM LW REVIEW REVIEW
? DATE
9ECEIVE0
DATE
C014PLETF R
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