HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED —7 q
Date: 01/29/2021 Permit Number: ;D,\ 0 �_G I 1
1�lr (L n CUIS RECEIVED
�1�11 11 � JAN 2,9 2021
P lb @ a F ) p = Building Permit Application
Permitting Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division Commercial Residential YES
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 896 WOODLAND DR PORT ST LUCIE FL 34952
Property Tax ID#: 3415-701-0003-000-6 Lot No.3
Site Plan Name: WILLIAM ALBAUGH Block No.
Project Name: RE ROOF
DETAILED DESCRIPTION OF WORK:'
REMOVE EXISTING ROOF TO THE WOOD INSPECT AND RE NAILING WITH 8d RING SHANK NAILS INSTALL
ONE PLY OF#30FELT WITH TIN TAGS AND ROOFING NAILS ONE TU MAX POLY STICK OVER THE#30NEW3X3 DRIP EACH
NEW PIPES AND VENTS INSTALL A NEW BORAL BARCELONA 900 TILE ROOF WITH A MEDIUM PARTTY FOAM
New Electrical Meter Second Electrical Meter
CONSTRUCTION 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 5/12 Pitch
Total Sq. Ft of Construction: 6400SQ Sq. Ft. of First Floor: 6400SQ
Cost of Construction:$ 48300 Utilities: —Sewer —Septic Building Height: 10FT
OWNERAESSEE': CONTRACTOR:
NameWILLIAM ALBAUGH Name:ESTELA RENTERIA
Address:896 WOODLAND DR Company:CASABLANCA CONSTRUCTION INC
City: PORT ST LUCIE State:_ Address:467 SOUTH FLAGLER AVENUE BAY84
Zip Code: 34952 Fax: City: POMPANO BEACH State:FL
Phone No.4042262253 Zip Code: 33460 Fax:
E-Mail:DEVILLE1 994@AOL.COM Phone No954 5922410
Fill in fee simple Title Holder on next page(if different E-Mail ESTELAH5555@GMAIL.COM
from the Owner listed above) State or County License CCC1 326556
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.
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SUPPLEMENTAL CONSTRUCTION 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 TITLEHOLDER: _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 lender or an attorney before commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor a gent foriowner S gnature of Contractor/License Holder
STATE OF FLORIJ4ALL 19 STATE OF FLORIDA
COUNTY OF 0 af_1 aW4L7 COUNTY OF 67LLCf e- COUfl-4
Sw rn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
NPhysical Presence or Online Notarization Physical Presence or Online Notarization
th s day of J G J 2020 by I this_LQ day of e1MU0_* 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification // Personally Known _OR Produced Identification
Type of Identificatio Type of Identification
Produced Produced
(Sig to of Notary Pub' (Sig re of Notary Public-
/q� �` P4°�c; JOSE REN RIA o i`Y� JOSE RENTERIA
ommission No. Cho :*_ MY(3�i4)ISSION#GG207306 ommission NoUv 11rAISS10N#GG2013
Qo: EXPIRES.April15,2022 = o EXPIRES:Apol15,2022
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