HomeMy WebLinkAboutBuilding Permit Application APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
ate:
Building Permit Application
Planning and Development Services Residential X
Building and Code Regulation Division Commercial
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Roofing
PROPOSED IMPROVEMENT LOCATION:
Address: 6699 Dickinson Terrace Port saint Lucie FI 34952
3415-706-0029-000-9 Lot No. 158
Property Tax ID#: Block No. 1
Site Plan Name: Veigh
Project Name: Veigh
DETAILED DESCRIPTION OF WORK:
Remove and replace roof cover
Install tri-built peel &stick
Install 1" nail strip metal roof
New Electrical Meter N/'°° Second Electrical Meter N/A
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Shutters Windows/Doors Pond
_Mechanical _Gas Tank _Gas Piping _ —
Generator Roof 5/12_Pitch
_Electric _Plumbing _Sprinklers _ —
Sq. Ft. of First Floor:
Total Sq. Ft of Construction: 4120 4120
Building Height:
Cost of Construction: $ 22,600 Utilities: —Sewer _Septic
OWNER/LESSEE: CONTRACTOR:
Namejoseph W Veight Name:Mauricio Orellana
Address: 6699 Dickinson Terrace Company:
One Construction & Roofing
City:
Port St Lucie FI State:— Address: 2766 sw Edgarce st
City: Port Saint Lucie State: F
Zip Code: 34952 Fax: y�
772-986-4468 Zip Code: 34953 Fax: N/A
Phone No. 772-240-9497
E-Mail:N/A Phone No
Fill in fee simple Title Holder on next page(if different E-Mail oneconstructionservices@yahoo.com
from the Owner listed above)
State or County License CCC- 1330623
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 CONSTRUCT ON LIEN LAW INFORMATION:
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: of 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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF stLucie COUNTY OF St Lucie
Swo p_to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
i/ Pf ical Presence or Online Notarization cal Presence or Online Notarization
this ` day of � a� �� ,2024 by thisay of 2024 by
Name of person making statement. Name of person making statement.
Personally Known i- ' OR Produced Identification Personally Known ,-~ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
.o�*aYPue-.. PAULETTE BLAIR•ALEXANDE
AJ R f Flori a
(Signature of Notary Public-St d• f 'das�tary Public-State of Flo da( gnature o Notary Public-Sta *;a) Commission#GG 987031
Commission#GG 987031 of F`°• My Comm.Expires Sep 6,20 4
Q M omm.Expires Sep 6,20 4 Bon t ugh National Notary A sn
Commission No. 1 ,( rough National Notary A sn mission No. �c
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.