HomeMy WebLinkAboutbuilding permitAll 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 X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:RE_ROOFING
PROPOSED IMPROVEMENT LOCATION:
Address: 2302 CORTEZ BLVD. FT PIERCE FL34982
Property Tax I D #: 2421 234 0004 000 6
Site Plan Name:
Project Name: 2302 CORTEZ BLVD
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: i
HIP ROOF: REMOVE AND REPLACE HIP ROOF INSTALL TAMKO SHINGLE
FLAT ROOF: REMOVE AND REPLACE BUILT UP ROOF. INSTALL ONE PLY BASE SHEET ONE PLY CAP SHEET
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1283
Cost of Construction: $ 9000
Generator _ Roof Pitch
Sq. Ft. of First Floor: 1283
Utilities: —Sewer _ Septic Building Height: 10 FT
OWNER/LESSEE:
CONTRACTOR:
NameEDWARD R EMIGHOLZ
Name:ALBERTO MUNOZ
Address: 2302 CORTEZ BLVD
Company:CONFORT BUILDERS, LLC
City: FT PIERCE State: _
Address:393 NW STRATFORD LN
Zip Code: 34982 Fax:
City: PORT ST LUCIE State: FL
Phone No.
Zip Code: 34983 Fax:
E-Mail:
Phone No772 224 9110
Fill in fee simple Title Holder on next page (if different
E-Mail COBUILDERS15@GMAIL.COM
from the Owner listed above)
State or County License CCC1328737
va U= W ..u112L, UUMPIN ub c2w ur more, a ncLuKueu ryoiice oT Lommencement 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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
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 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 your Notice of Commencement.
S ature of owner Lessee/(Contractor as Agent for Owner
Holder
STATE OF FLORIDA n I STATE OF FLORI
COUNTY OF P-O U JIg Q !� I COUNTY OF bV_CAA,4)e1-
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
P4ysical Presen a or Online Notarization --Physical Presence or Online Notarization
this 1j: day of �.l -I 6Lr C 2020 by this fday of i`L64 Gh 202V by
A L W rz Zy H U NJ O Z 1A� - R642+ C, H C NG2
Name of person making statement. Nam of person making statement.
Personally Known OR Produced Identification L Personally Known OR Produced Identification
Type of Identifi do Type of Ide ' ica
Produced VE I lC Luck_ Produced XICIP IJCEiVS_4_�
boo
(Signature ic- Stat of, a) PETRA JOSEPH (Si ature Z&Pubjlic-Sta PETRA!��.Notary Public - State of FI rida �: Notary PublicState of Fly
:� e mmission GG 28601
Commission o. V ZOo20 al) Commission # GG 2860 eCo missio No. SAl� mm. Expires Dec 20,
Cof F..:
—y sl � I.0b19 My Comm. Expires Dec 20, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED