HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Or Warr,
c Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Re roof
PROPOSED IMPROVEMENT LOCATION:
Address: 138 Southeast Soneto Court Port St. Lucie, FL 34983
Property Tax ID#: ' 3419-550-0084-000-7 Lot No, 5
Site Plan Name: RIVER PARK-UNIT 7-BLK fig LOT 5(MAP 34128S)(OR 2225-1440) Block No. 69
Project Name: River Park
DETAILED DESCRIPTION OF WORK:
Remove roll roofing on flat roof and replace with peel and stick base sheet and cap sheet modified bitumen roofing system
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 _Win
dS/Doors _Pond
Electric —Plumbing _Sprinklers _Generator �- Pitch
Total Sq.Ft of Construction: / �' L? Sq. Ft. of First Floor:
Cost of Construction:$ ee._ Utilities: --!!rewer Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR:
Name Gladys Ortega Name: Mark Detlof
Address:138 SE Soneto CT Company: DeLo Construction Services LLC
City: Port Saint Lucie State: Address:2189 SE Erwin Road
Zip Code: 34983 Fax: City: fort Saint Lucie State:FL
Phone No.(772)708-4536 Zip Code: 34952 Fax:
E-Mail:Gortega4536@gmail.com Phone No 772-323-9981
Fill in fee simple Title Holder on next page(if different E-Mail Mark@deloconstruction.com
from the Owner listed above) State or County License CCC1332142
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
pplicable
Address: Name:
Address:
City: State: City: State:
Zip: Phone Zip Phone;
FEE SIMPLE TITLE HOLDER: _Nat Applicable BONDING COMPANY. Not Applicable
Name: Fume:
Address: Address,
City: City.
CEP: Phone: Zip: Phone-
OWNER/CONTRACTOR AFFIDVIT:App3icatiion is hereby made to obtain a permit to do the wTrk and installation as'indicated.
l certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Courtty makes no representation#hat is granting a permit will authorize the permit holder to guild the subjectstructure
which.is in tonflict with any applicable Rome Owners Association rules,byi aws,or ang covenants that may restrict or prohibit such
structure_Please consult with your Horne 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 l will,in all respects,perform the work
in accordance With the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The foflawing building permit applications are exempt from undergoing a full concur-envy review:room additions,
accessary structure4 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�for
improvements to your property.A Notice of Commencement rntist#�e recorded in the pub€e records of 5t.
Lucie County and Toasted on the jobsite before the first inspection.If you intend to obtain financing,consult
with tender or an attomey before commencin work or recvrdin our Notice of Commencement.
Signature of Owner/Lessee/ retractor as Agent for Owner Signature of Contractor rise Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirirled)and subscribed before me of
physical Preseace or Online Notarization Phvsical Presence or Online Notarization
thisday of = 2 f by this ; ay of b
Name of person making statement. Name of person making Statement.
Personally Known 4R Produced identification Personally Known �OR Produced Identification
Type of ldentifiption Type of identification
Produced Produced
0 milli .1 IL
(Signature of N Ra Public-5tat or a} C I N DY W B rggoat of Nora i>ttlic-5ta
es�Y P 3 Notary Public-State of�forida Cl N!)Y taE
ComfffL on No. =� I)Commission 9 G to
n a y� rotary Public StatefFlorida
snES My Commission E �; Q4mmiss'son rt G113311
394
May 23, 2� 3 r Y commission ires
n Niay 23, 2a
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGI_TA_nON SEA TURTLE MANGROVE
COUNTER REVIEW RMEW REVIEW REVIEW REVIEW REVIEW
j F]ATE _
I RECEIVED
DATE
COMPLETED
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