HomeMy WebLinkAboutBuilding Permit Application t� I
ALL 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
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: 14186 Isla Flores ort Pierce FI 34051
Legal Description: Block 33 Lot 14 in Spanish Lakes Fairways Community, Fort Pierce FI 34951
_ I
Property Tax ID#: r 3o(0 It l 000 60 -C) Lot No. 14 i
Site Plan Name: One Block No. 33
Project Name: One
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
bETA'ILED DESCRIPTION OF WORK:'.-'.
Remove exirting roof coverage (shingle)
Install tri-built peel and stick for underlyment
Install 5V metal roof
777771
CONSTRUCTION INFORMATION
Additional work to e e orme under this permit—c ec a apply:
L�HVAC 11 Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
i
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 900 ST
Ft.of First Floor: 1100
Cost of Construction:$ 7,200 Utilities Sewer Septic Building Height: 8
dw,k' ER/.LESSEE r: ,, ...CONTRACTOR:
Name Carol Wldner Name: Mauricio Orellana
Address:14186 Isla Flores 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.772-466-1726 Zip Code: 34953 Fax: N/A
E-Mail:N/A 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
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL.CONSTRUCTION LIEN LAW,INFORMATION
DESIGNER/ENGINEER: R_Not Applicable MORTGAGE COMPANY: Not Applicable
N a m e:�e�whiner N a m e:Mauricio orellana
Address:14186 Isla Flores Fort Pierce FI 34051 Address' 14186 Isle Flores
City: Fort Pierce e: City: Port saint Lucle State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HO _Not Applicable BONDING COMPAN Not Applicable
Name: Name:
Address:2766sw arcest 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 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF V c�P COUNTY OF �� �—�C' e
The forgoing instrument w s acknowledged before me The forgoing instrument was acknowledged before me
this�day of 5 20� by this�day of S f Le i', A- 20n by
T
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Idgntificatio Type of Identificatto
Produced ! R Y ;2 � �'-`"- Produced I F4 ��r r t =2 ririr r€JE-Z
E 7-MY CGi�ifv7iS51 MY COMMISSION#FF925171
0`V#FFS25171
EXPIRES December i7,2019 6P =;,,.,..G; EXPIRES Decernber 1. 2099
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(Signature of Notary Public-State of F on a (Signature of Notary Public-
(Signature of Florida)
Commission No. ` �2' 15111 (Seal) Commission No. 2 J 1 1 I (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17