HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - 8024 PLANTATION LAKES DRAll APPLICABLE INFO MUST BE COO PLATED FOIN APPLICATION TO BE ACCEPTED
Date: 1-14-2021
Permit tY umber; -
l3u ildi rig Permit Application
Pfonn�rq DrO Oyftnt SerwiM
Bui�Qing and Cie ReguQ3[ion Djuiston Carnm$rc1-a6 �R�SI��f1#ICI
2300 VkOrria Auen"R, for[ Pierce F1 34
Pkinne= (772) 4621-1553 Fax' (7721 462.157.9
HERMIT APPLICATION FOR: RER00F
PRC IRMED IMPROVEMENT LOCATION:
Add re-5s: 8024 PLANTATION LAKES DR _
P rro-perry Tax ID #: 3 1--0033-DOO-0
5Gt,e Plarr N a me;
Lot No.27
Blok No.
Project Nam e: —
D ETAI LE D DESCRI PTIOIV O F WOW �l
REMOVE TILE ROOF
I N STALL 30# FE LT FL2346, 1 N TALL T LJ PLUS UNDE R LAYM ENT FL5259
I NSTALL H I P & R IDG E FO R TI LE FL5374- INSTALL T I LE FL7849. P(D LYFOAM TILE ADH E IVE FL6276
New Electrical Meter SeLrA3 nd E lectrica I Wkler —
7 ONSTRUCTION INFORMATION -
Additional work tD fbe parfvrrned Under this permit -check all that apply:
_M.Pcha n ica I _bias Tank J Gas Piping
Electrtic _ Plurnbirk _ Spri n klers
Total 5q- Ft of C.rnstrurtion; 4,057
cc3st of Construttiom s,750
OVVN ER/LFSSEE=
rja m e David J Sanack
Add ress:6024 PlaaL tlon Lakes DR
city'. PORT :ST LUCIE $tat*;
ip code' $498 Fax,
Phone No,= - .
_:shutters W' dows/ors _ Pond
Generator T Roof 5112 Pitch
Sq. Ft. of first Floor: 4,057
L.Itllitles: _ Sewi�r _Septic
E-Mail:
RII in fee simqile Title Holder on next page ( if d ifferent
from the Dwner listed above)
CONTRACTOR:
Nam-e; ROLAND WILEY
BUllding Hight: $ FT
omRa rrw_SHORELINE ROOFING —
Address; 1073 SW C LENDAL E CTREE t City: PROFIT ST LUC I E state: FL
Zip Cade; 347 _ Fq)x
Pftorre N0 772-2 0-9565
E•MaiI HORELINEFk FIN @YAHQ0. 0M
SRati.- or C-Owity Lice nse COC11 331170
ff wiliue -of construction Is 25W or more. a RECORDED WkE of Co-rrtierbCemerrk 1% Mqul ned-
If walug of NAVC is VrSW OF mpre, a RECORDED Natice oft Co mmencemtnt Is required.
SU PPLEMENTAL CO N STFI: U CTION LIEN LAW INFORMATION:
INEER;
Name=�
Address: Address:
City -
State: City' State-.
Zip; phne
Nat App I ica
MORTGAGECOMPANY' _ Not Applicable
trEE SIMPLE TITLE H 0 DER:
Narrre
Rio: Phone,
Not Appka ble I BONDING COMPANY;
NaM-R'
Addre.ss=
City,
Zip=— - Phone; -
Name:
Address-, City:
zip: Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIIDViT: AppliCation is hereby made to Wain a permit to do the work -and InstalIati*+ $5 Indicated,
I certify that no work or in€tbldation has Commenced prior to the issti.Ante of a pei-MIK.
$t. Lucie Countty� makcr5 HO representation d7at is gr;)ri#Ing a permit will aurthorize the permit holder to buddthe subject Str,dtture
which Is In conflict with an�r appLcable Home Uwrtrs Association ruses, bylaws or and covenant a that rnay+ restrict M prohibit such
structure, PI oons-ult + 1th your Home Owners. Association and rj�wl-ew your eyed for any restr10cros which may applyr.
I rl Consideration of the granting of this requested perm it, I clo heielav agree that I will, i n all respects, perform the work
in accordance wKh the approved plans, the Florida Building Codes and St. Luce Cou ntV Amendments.
The following building permit applications aFe 4�xe.mpt from undergoing a hall Concurrency rewlew- rim editions,
acces5urV struMre5, swimming pmlk fences, walls, signs, screco rooms and &cce' ry+ us -es to another norn-resldentiai use
WAR N ING TO OWN E R. hour failure to Retold a Biotic@ of mmeriieerme rd may resutt in Raying twwLae for
improvern ants to your property- A Notice of Co mme nce rrl-ent m ust be re -corded in the pu Wie records of St.
Lull a Cou my a nd pasted on the jobsite before the first inspeCtion- If you inten d to obta i n #i nantl rig. Wn salt
with leader o r a n attgrn ew before earn merlti n work or regarding w u r Nit ite �f Commer�Ceme nt,
A-eC41 lessee act S Agent for 0 rrer I AuLILere of one ckrxiLlcnse HClder
STATE OF FLORID
,�.� .
C4tl NTY OF -
s or for affirmed] and sub5[r1bed before me of
PhvSIcal presence of Online Nctariiaticir,
th Is -lax of 2020 by
AFame uf person rn7C?R
eme nt
o
fier5�$IIy Knflwn ProdUOed Identlf+Cai $
Type ut I&ntlfication
Pr ueed Ce
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(Signature of 1%161:r br ic- 5tate of F143ri o
COmml scion W3. [Seal f
STATE OF FLORIDi
CCUW-Y OF
swo for affrmd] and su bscrl bed b-efofe me of
,/to Phpirt I Presence o+r _ Online Nokarltiaer
th i5 day of _ 2020 by
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R)l
Piame of person maki skajerf7e
w
Personalky� Kn OR Produced Identlflcation
v
-ryrpe *f Identification
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produced
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(Signature of Not UkAic- state of Roeida-66
F
Commission No. i (Sealy=
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R EVI EWS FRGN1r ZON I-NG SUPERV IS IA PLANS
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