HomeMy WebLinkAboutBuilding Permit ApplicationAll ARPLI CABLE INFO MUST HE COO PLETE D FOR AF Pl�IrkTION TO B E ACCEPTED
Date: 1-6-2021
Perm it Nvrn ber,
COUNTY
_L:±1 Building Permit Application
pj= inl;.0rid DevetoUmeentServk0
SUihpiiRg and Code ReguVjian MWOn commercial Residential —
2300 Virginfa Avenue, For r Pierce F1 34992
Phone! (7721462-1553 Fax; �7721 452-1579
P E� APP LI CATION FOR; R E Root
PROPOSED IMPROVEMENT LCKATION:
Address. 367 European LN Fort P fierce
P mperty 3a M 411D -9:
SI#e Plan Name;
Project Name:
3410-5D3-0212-DOO-1
EDIETAI LE D D ESCR I PTION O F WORK'
REMOVE SHINGLE ROOF
Lot rjo. 2
Block No- H
INSTALL PEEL & STICK UNDERLAYMENT FL16048
INSTA LL H INO LE FL 1067 1°r1w y ---ZA- X ? )
New ElntrimhI Mete r . 5eoond E lectrica I M e#er
CEO :NST�U ON I N F0RMATl0 N =
Additional work to be performed under this permit -check all that appN-.
_Mechanical _ has Tank _ Gas Piping _ 5huteers _ W Indows jD&Drs Fond
E 1-writ _ Plumbing _ Sprinklers _ GL',rbe rater X Roof 15112 _ Fitch
T.Dtal Sq. Ft -of Con5#ructi-On: 2,
460
C05t Of C1?rk.struetl0n; $ 10-OM
5.q. Ft- of First Floor: 2.4
60
U till# 1e5: _Sewer _Septic
8u ildi rrg Helghr: a FT
Ifti{ IER LESSEE; CONTRACTOR' -�
Name Janice h 1pGralh _ Name= L� LAf+IO 'I�EY
A re5s: 367 European LN Cam parr;SHORELINE ROOFING
Fort Pierce State_. Address: f73 GLENAtlr STREET
City: � PORT �T L LPG I E
ZIp Code: 34082 Fax: City: gate: FL
Pharre No. Zip Code: 34987 Fax:
Phone N a 772-260-11665
Rill in fae simple T09 Holder an next Page if CI fererrt �• Ma i I H FIB LINE ROOFING fA�-ICIC . C F I
from the owner I istad a l;oo+re) StateLOT County Licen se O001331170
if Malue of pr,nstr ` tion hs 25M or rrror4Pr ;1 RECORDED Notloe of Cwnmencemefit is required,
Gf value of HAVC is $7F5M yr more, a RECORDED N4t1ce of Commencement ,is regvired-
s—uPPLEM ENTAL CONSTRUCTION LIEN LAW I NFOR MATION:
DESIGN E R/ENGI fV EER: , Idot A pp I ica ble I MORTGAGE COMPANY: � Not Alp plieab1 e
Name:
Add res5
_ Name:
AddreSS'
City: _ State: city. State_
Zip; _ Pflone Zip; Phone:
FEE SIMPLIE TITLE H O X ER: _ N of App I ica ble BONOI NG COMPANY: Not Ap pl i Cab I e
Name: Na rne: �r
Address: Adel r45s'
City= - City-
ZiP; Phone; Zip: Pliorke!
OWNER/ CONTRACTOR AFFIOVIT: Application is hereby made to obtain a permit to do the work and invalla -on as indicated.
I r*rtify that fto work or inss*liatian has cor'rtim enced prior ro the issuipmee of a permit.
St. Lucie CoUrqy m a kes no reDresentaraon that is gran ti ng a jpermGt rwll I authorize the pefmit hordet w build the subject structure
which is Irk conflict rwitb antis applicable Home Owners ALssociation rules, bylaws or P-nd covenants that may teS#rlct or prohibit Such
structure. please consult Ali your Home owners Associ3#Ion and review your deed for any restrictions which rogyr $Rot .
in consideration of the granting pf this requested permit, I do hereby agree that I will, in all respects, prrfQfm the week
ir% accordance with the appmwecl plans, the Florida Building Codes and St Lucie Cli�untyr amendments.
The foil owing bvildl ng pe".it applications erg exempt from u ndergoing a fulq concu rrerL Y r4Mew: room addltlons�
a"essory strucWresswi mmi ng pools} fenc-es, w;)1 is. signs, screen rooms and aCcessaTy uses Si) another nori -residential use
WARNI NG TO OWNE R: Your failure tG Recofd a Notice of Cgmvnencernent may r+e90% in Payl ng twice for
i mp rove ment-s to your property- A Not ice of Co-n me ncern ent m u5t be re[orded i n th e p ub I le records of St.
Luce County a nd post-ed on the }ob5i to 4efore the first i nspeCtion. If you i rite nd to obtZiirti Tina nci rkgr eonsu It
with lertde r or an attornie bef0-ro com m enCi n work or c ord i ng you r N ati ce of Corn menmment.
Signature owrwer Lessee�Co trK �sAgent Ior ovwner I {n cur ontXdo#or foense 1101
STA-rE OF FLORIDA
CCUNTY OF i �L' J� a
:5wi to ;.or affirmed) and subscribed before me of
ical Prey or Online Notarization
this _ . ay of e s �024 by
M1lame of person maki-c} tatellilent. Ly
faersMiolly KRUM)_ OR Nodu.ced IdWVflcat rii_aa_L
Ty°pe�aF Identification
Prl 7d _ I
fsigniature -of Nota u
Cam missium NO. Cq.)---.
state of Florida . F
[Saari
REV9 WS FRONT ZONING
' COUNTER I REVIE
CIATE
REC:EIVEI)
DATE
;TATE OF F tORd D
COCJ NTY OF 4 7L l�!
sworn (or affirnik) and subscFi bad before me of
Physical preserKe or I)nllrte Notati zatbon
this ayr of f f , 21)21 by
Name pF person} ma king statejent.
PerWrlally Known %X OR Produaod Iderktlficati
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Type Of IdentrFcation
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-Prod uced
Ch
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(Signature of ry Publk- State of Florida
No. (Seal)
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CoMrni$slon
$IJPERVISOR IU
PNS VEGETATION SEA TURTLE MIANGROVE
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