HomeMy WebLinkAboutBuilding Permit Application.pdf r
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/15/2020 Permit Number:
.p Building Permit Application
Planning a d Development Services
Building on,d Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERM IT APPLICATION FOR: RE-ROOF TILE TO TILE
PROPO M IMPROVEMENT LOCATION:
Address: 81008 PLANTATION LAKES DRIVE PORT ST. LUCIE,FL 34986
Property Tax ID#: 3321-803-0029-000-9 Lot No.
Site Plan Name: Block No.
Project Name: LATIMER RESIDENCE
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DETAIL D.DESCRIPTION.OF WORK:
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NewMectri'cal Meter Second Electrical Meter
CONS.T UCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors f Pond
_Electric _Plumbing _Sprinklers _Generator Roof '5/(a Pitch
Total Sq. Ft of Construction: 5,100 Sq. Ft. of First Floor:
Cost of Con truction:$ 41,970.00 Utilities: _Sewer _Septic Building Height:
OWNS LESSEE: CONTRACTOR:.
Name MICHAEL J LATIMER Name:JOSEPH KOLINOSKI
Address:8008 PLANTATION LAKES DRIVE Company.ONSHORE ROOFING SPECIOALISTS, INC.
City: PORT ST LUCIE State: Address:4401 SE COMMERCE AVE.
Zip Code:1 34986 Fax: City: STUART State.FL
Phone No.! 772-283-1505 Zip Code: 34997 Fax: 772-283-1557
E-Mail:info@onshoreroofng.com Phone No 772-283-1505
Fill in fee simple Title Holder on next page(if different E-Mail info@onshoreroofing.com
from the Owner listed above) State or County License CCC1328994
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of H is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLE ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: e: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLD Not Applicable BONDING COMPA Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNE NTRACTOR 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 Co my makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in c nflict 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 considers ion 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 st ructures,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 attorne ommencing work or recording our Notice of Commencement.
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Signature of Owner/Less o ctor gent for Owner Signature'of Contra ctor/Lic older
STATE OF FLORIDA STATE OF FLORIDA J� —
COUNTY OF A W.✓1 COUNTY OF fL4
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(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of
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Name of p rson fnaking statement. Name of persorf making statement.
Personally Known_XZ OR Produced Identification Personally Known Vng OR Produced Identification
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED',
DATE
COMPLETED
ev.5/6/20