HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: Permit Number: Zw Z- oa3
RECEIVED
O
p. Building Permit Application DEC 16, 2020
Planning and Development Services Permitting D �6
Building and Code Regulation Division Commercial Residential Sl,�o County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:,(772)462-1578 Permitting Department
St.Lucie County
PERMIT APPLICATION FOR:reroof
RVEEMENT LOCATi` N r
Address: 212 n 39th st
Property Tax ID#: 24089-603-0080-000-3 Lot No.7 &8
Site Plan Name: Block No. 7
Project Name: Reroof
DETAILED DES.CRI'PTION'OF WORK
Reroof with metal
New Electrical Meter Second Electrical Meter
CONSTRUCTfON,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 Pitch
Total Sq. Ft of Construction: 1200 Sq. Ft. of First Floor:
Cost of Construction:$ 7000 Utilities: —Sewer _Septic Building Height: 10
OWNERAESSEE:. _.__ _:w: :': CO'NTRA(TOR:
Name bill &jen apartments Ilc.` Name:Harold Otto
Address:797 bent creek dr Company:Otto built LLC
City: Ft Pierce State:_ Address:4335 sw honey terr
Zip Code: 34947 Fax: City: palm city State:fl
Phone No. Zip Code: 34990 Fax:
E-Mail: Phone N0772-201-1908
Fill in fee simple Title Holder on next page(if different E-Mail harold@ottobuiltilc.com
from the Owner listed above) State or County License CCC 1327359
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 COIVSTR=UCTIDN LIEN LAIN INFORMATION 4
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 le der gVan attomey before commencing work or recording our Notice of Commencement.
01
Signature of Owner/Lessee/Contractor as Agent for Owner Signature o�Contracto icense Holder
STATE OF FLORID!:/ - STATE OF FLOR@AI
COUNTY OF //�� ��C r� COUNTY OF%c1-},�c uct
Sworn or affirmed)and subscribed before me of Sworn to�r affirmed)and subscribed before me of
Ph cal Pres c or Online Notarization c�Fhysical Pr ce or Online Notarization
this day of C 2020 by this l day of 2020 by
Pa r,)Id,- oik
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Z Produced
;�'pv'6�e.,• KRISTINEPATRICIrr
AMURPHY
Notary Public State of9759da
(Signature of Notary PublieeState of Florida) (Signature of Nota '.-S e Fh3picia r 22,
ofF 0 Assn.
Commission N I Bonded through National Notary
,,r► blicS� )ide Commission No. eal)
aR. Harold Otto
• mrniasion GG 217553
ExPi s 0612
REVIEWS RVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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