HomeMy WebLinkAboutPermit Applic for 6780 Dickinson TerrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 6780 Dickinson TERPort St Lucie, FL 34952
Residential X
Property Tax ID #: 3415-706-0047-000-1 Lot No. 5
Site Plan Name: Santangelo Block No. 3
Project Name: Santangelo
DETAILED DESCRIPTION OF WORK:
Remove existing roof cover
Install new peel & stick underlayment
Install 5V crimp / 26 gauge / mill finish
New Electrical Meter N/A Second Electrical Meter N/A
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
Total Sq. Ft of Construction: 2218 sq ft
Cost of Construction: $ 18,200
Generator _ Roof
Sq. Ft. of First Floor: 5362
5/12 Pitch
Utilities: —Sewer —Septic Building Height: 8'
OW N ERAESSEE:
CONTRACTOR:
Name Maria Santangelo
Name: Mauircio Orellana
Address:6780 Dickinson TER
Company: One Construction & Roofing Contractors
City: Port Saint Lucie State: _
Address: 2766 sw Edgarce st
City: Port St. Lucie State: FI
Zip Code: 34952 Fax: N/A
Phone No.772-456-9834
Zip Code: 34953 Fax: N/A
E-Mail:N/A
Phone No 772-240-9497
Fill in fee simple Title Holder on next page (if different
E-Mail oneconstructionservices@yahoo.com
State or County License CCC- 1330623
from the Owner listed above)
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 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 TITLE HOLDER: _ 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 attornev before commencing work or recording your Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORPA
STATE OF FLORIDA
COUNTY OF `` -� ��`
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S�w r o (or affirmed) and subsc ' ed before me of
Swor o (or affirmed) and subscribed before me of
`r rn sical Presence or Online Notarization
Physical Prese�nc�e Online Notarization
this A day of i-f h 2020 by
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this day of 2020 by
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Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identifi tio n `
Type of Identifi annf
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