HomeMy WebLinkAboutBuilding Permit Application � t
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit-Number:
I d • �3 "
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PROPOSED'IMPROVEMENT LOCATION:
Address:'y Lagos Del Norte Fort Pierce FI 34951
g �' ri p Lo 5 _?/ s; �'i S
Legal De cri tion: �� 5
Property Tax ID#: n QQ �� S7 Lot No.
Site Plan Name: One Block No.
Project Name: One
Setbacks FiontN/A Back: N/A Right Side: N/A Left Side: N/A
-..DETAILED DESCRIPTION'OF WORK.
Remove exirting roof coverage (shingle)
Install tri-built peel and stick for underlyment
Install 5V metal roof
CONSTRUCTION,INFORMATION
Additional work to be pertormed under this permit—c ec a apply:
11HVAC Gas Tank []Gas Piping _Shutters F]Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator ZRoof Roof pitch
Total Sq. Ft of Construction: 950 S . Ft.of First Floor: 1100
Cost of Construction:$ 7650.00 Utilities: Sewer R1 Septic Building Height: 8
OWNER/LESSEE CONTRACTOR:
Name Ralph Tocci Name: Mauricio Orellana
Address:15 lagos del Norte Company: One Construction&Roofing contractors
City: Fort Pierce State: FL Address: 2766 sw Edgarce st
Zip Code: 34951 Fax: N/A City: Port saint Lucie State: FI
Phone No.828-486-7981 Zip Code: 34953 Fax: N/A
E-Mail:NIA Phone No. 772-519-2449
Fill in fee simple Title Holder on next page(if different E-Mail: oneconstructionsedvices@yahoo.com
from the Owner listed above) State or County License: CCC-1330623
I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENl"AL.CONSTRUCTION LIEN LAW INFORMATION
'1
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Ralph Tocd N a m e:Mauricio Orellana
Address:15 Lagos Del Norte Fort Pierce FI 34951 Address: 151agos del Norte
City: Fart Pierce tate: City: Port saint Lucie State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE H ER: _Not Applicable BONDING CO Y. Not Applicable
Name: Name:
Address:2755 garcest Addre
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA�_ STATE OF FLORID�1 ��
COUNTY OF c�C. COUNTY OF JJ
The forgoing instru ant s acknowledg d before me The fo Ding instrum nt was acknowledgg before me
this 'a day of f 20 by this/I day o e 20 {1 by I
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Iglu'JA►Ct o 0V e Wi Ck I r LL Q �ti� q✓1 C1
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatypq' Type of Identificati►Jon f C
Produced �f Produced J�
(Sig a ure of Notary Public-State a_� — =(Signature of Notary Public-Sta ;off ,Ibflda)
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�W���i°��a4.. �5's �J� �:�;_... i a`�,,,:,='t`�. �` MY CO I�;p,.I y P
Commission No. -. 12
`�IP(`L'7J Uii'o11SSIOtS �Fr•�Z?COfFImISSIOn NO. :;�,F: (dal) '[� nl
;t�.1 Ol)3�?8-0553 E`..t? �E'f I ]
:y {v�;• EXPIRES Deco nbef i7. � Ffonda
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(407)398.0t53 FlondaPlJtary$ernca com _I ,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17