HomeMy WebLinkAboutPermit Appl for 156 NE Floresta DrAll 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 Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -roof
PROPOSED IMPROVEMENT LOCATION:
Address: 156 NE FLORESTA DR PORT SAINT LUCIE FL 34953
Property Tax I D #: 3419-570-0102-000-2
Site Plan Name: Picano
Project Name: Picano
DETAILED DESCRIPTION OF WORK:
REMOVE EXITING ROOF COVER
INSTALL NEW PEEL & STICK UNDERLAYMENT / TRI-BUILT
iNSTALL NEW SHINGLE / TAMKO
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
Electric _ Plumbing
Total Sq. Ft of Construction: 1694 SQ FT
Cost of Construction: $ 8,000.00
_ Sprinklers
X
Lot No. 4
Block No. 81
Windows/Doors Pond
Generator Roof 5/12 Pitch
Sq. Ft. of First Floor: 1694 SQ FT
Utilities: —Sewer —Septic Building Height: 8'
OWNER/LESSEE:
CONTRACTOR:
NameValeria Picano
Name: MAURICIO ORELLANA
Address:2681 SE Hamden Rd
Company: ONE CONSTRUCTION & ROOFING
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No.772-986-33556
Address: 2766 SW EDGARCE ST
City: PORT SAINT LUCIE State: FL
Zip Code: 34953 Fax: N/A
Phone No 772-240-9497
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail oneconstructionservices@yahoo.com
State or County License CCC-1330623
-a..=.,UW11DL1U{.1du1I M 4Juu uI Inure, a Ri:wrcuru rvotice oT 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: Phon
Zip: Pho
FEE SIMPLE TITL OLDER: _ Not Applicable BONDING C ANY: Not Applicable
Name: Name:
-
Address: Addres
City: City:
Zip: Phone: Zi 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.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF :ce _ C, �6
COUNTY OF � � CA"k
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
a' Physical Presence or Online Notarization
A Physical Presence or Online Notarization
this 11 day of OMCda . -M by
O.
this %% day of ko1. dV_ 2� by
yc
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification X
Personally Known OR Produced Ideritificat on._
Type of Identifications "^
Type of Identification
Produ ed
Produ
a
(Signature of Notary Public- tate- F(orid:�✓)
(Signature of Notary Public- tate of` orida`)I
4
Commission No. ��-21 v�
Commission No.�24aSeal)
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