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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED { Date: 04/27/2017 Permit Number:' 1 • 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 xxx 'PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IIVIRROVEMENTI0CA1'(ON: Address: 5003-EASTWOOD DR-FORT PIERCE FL 34982 Legal Description: LAKEWOOD PARK-UNIT 12-A-BLK 173S 93 FT OF LOT 15(MAP 13/13N)(OR 3866-1663) Property Tax ID#: 1301-615-0123-000-3 Lot No. Site Plan Name: N/A Block No. Project Name: N/A Setbacks Front Back: Right Side: Left Side: DETAILED"DESCRIPTION OF�,WORK. . COMPLETE RE-ROOF WITH 26GA GULF-RIB PANELS OVER PLYWOOD USING POLYGLASS TU PLUS PEEL.& STICK AS UNDERLAYMENT CONSTRUCTION INFORMATION. T Aciditional work to be pertormedunder this permit—check all that apply: �HVAC Gas Tank Gas Piping _Shutters ✓a Windows/Doors Electric �Plumbing Sprinklers a Generator a Roof i Z Roof pitch Total Sq. Ft of Construction: 2040 S . Ft.of First Floor: 2040 Cost of Construction:$ 10,000.00; Utilities:ln Sewer Septic Building H i ht: 8' 01NN ER/LESSEE: CONTRACTOR: Name JOSE RENTERIAB GUILLERMINA RENTERIA Name: OSIEL LUVIANO Address:1.17 Garden AVE Company: LUVIANO ROOFING CO.,INC. City: FORT PIERCE State:FL Address: 11055 HWY 441 NORTH Zip Code: 34982 Fax: City: OKEECHOBEE State:FL Phone No.772.519.1076 Zip Code: 34972 Fax: 863.357.3566 E-Mail: Phone No. 863.634.9485 Fill in fee simple Title Holder on next page(if different E-Mail: OSIEL@LUVIANOGROUP.COM from the Owner listed above) State or County License: CCC1327338 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. r" ,SU,Rp, EMENTAL CONSTRUCTION LIENnLAW INFORMATION'S DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING.COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 ildinig permit applications are exempt from undergoing a full concurre c review:room additions, accessory stru res,swimming pools,fences,walls,signs,screen rooms an accessor es to another non-residential use WARNING OWNER:Your failure to Record a Notice of Comme cement y result in your paying twice for impr veme is to your property. A Notice of Commencement m ust be r rded and posted on the jobsite befor the st inspection. If you intend to obtain financing, co sult'Ni ender or an attorney before com bncin work or recording our Notice of Commencement s Signatur of 01 vhe<essee/Cofi-t—ractor as Agent for Owner Signature o Contra or/ . en se Holder STATE F ORIDA 1 STATE OF L RIDA COUNTY ` L ` � COUNTY E UCIS The forgoing instru nt was ack owledged before me The forgoing instru e t was acknowled before me this day of /"% 20 .�by this day of 2f by Lod 1-c�n© Cis (Name of person acknowledging) (Name of person acknowledging')' i f� " DANP�4 V ' (Signature of Notar Public-State of Florida) (Signature of N t ry Public-State of Flori a) Personally Known 0 P Personall.)pK- N a ifi tion Type of Identificatio ro d M' Type of,dgrl+ �� ��r? uoary rut �. �„ Notary Public State of F on a _ ?=*"�'y; Commission#Fill 234730 Commission No. 3 * ;•E Comr($ �r#FF 234730 Commi5s a d Q? res May 27(�8� My comm.Expires May 27,2019 y ,�9, �,.� of;;° Bondod through National Notary Assn. ' n^ Bonded through National Notary Assn. Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS