HomeMy WebLinkAboutAPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number;
Building Permit Application
PJannirrg and DevOopmen r Services
burfd+rlg and ade Regulotion Division Commercial X Residential
,2300 Vironia Auermw, Fort fierce FL 34982
phone, (772) 462-I553 Fax; (772) 462-1578
PERMIT APPLICATION FOR: Re -root
r_ROPOSED IMPROVEMENT LOCATION:
Address: 8000 S US H Y 1, Port St. Lucie, FL349 2
PropertyTaxiok-' 3414-501-1701-0 -9 � Ldtrvu.
Skte flan Name, t• Lucie Gardens 26, 36, 40 Block Na. I & 2
Project Name. wyrinle
DETAILED DE CRIPTION OF WORT :----
Flat re -roof
New Electrical Meter�Second Electrical Meter
CONSTRUCTION INFOR MATION.
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank _ Gas Piping
-- Shutters � Wirldows/Dot]i s
� #'and
Plumbing _ Sprinklers
_ Genefator Roof
Pitch
Total Sq� Ft of Construction; (_I2 � �}
5q- Ft. of First Flacr:
Cast of Construction: $ 70,000-00 utiGltles;
_ Sewer _ Septic l}uilding Height: L40
OWNER/LESSEE:
CONTRACTOR,
-
Name Wynne Budding Corpnraii n
Name; Davad Cope4n
AddreSS: 80BQ U Hwy 1 Suite 402
Cam pony, Atlas Rooting
Crty; Port St. UCie. FL state::
Address: 851 S Deerfield Ave
3495 Fax;
Zip Code; ��. - —
CAA: Deerlleld Beach, �,
Stilt e= L
Phone No- 772-878-551
Zip Code; 33441 Fax- 9 54 -4 2-9505 —
Prune N0 95 4 -5544
E'Mail'
Fill in fee simple Title Holder on next page { If different
E-Mail Twm(i� at] asroohrig 11.ccM
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from the owner listed above)
I State a county ticense CC C0579 4
Li Valor of construction is 2500 or more, a RECORDED Moller of itommem0ment is required,
if value of HAVC is S7,5 ar more, a RECORDED Notice of Carnmenrement is required.
SUPPLEMENTAL CONSTRUCTj0N U E N LAW INFORMATiON:
DESIGNERJENGINEER: Not Applicable
Name;
Address:
City: State:
Zip, Phone
FEE SIMPLE TITLE HOLDER:
Came:
Address:
City,
_.._...
Zip. _ Phone:
Not Applicable
MORTGAGE COMPANY: _ blot Applicable
Name;
,address:
Clty' — -- state -
Zip, Phone:—
BONDING} COMPANY:
Name:
Address'
city_
Zip: Phony:
.Not Applicable
0 W N ER/ CONTRACTOR AFFIDVIT: App4lcation Is hereby made to obtain a permlI to do the work and instattation as inibcatec
I Gorily that no work or installation has Cornmenced prior t0 the issuance of a permit.
St. Luce County mai es no represr:nuation that iS granting a qermi# wrR authorize V)e permit voider to bukid the subje€t sLru€Lure
whrch IS Iry gonflict with any appticabte Home Own er$ Asspti,tion rules, bylaws or and covenants that may restrict OF gratliibiI wch
5trw, tore. Please consult wth your Fipnie owners Association and review raur died fur any rcytr,cuum which may apply.
in consideratlan of the grantina of this requested perrnitr t do hereby agree that I will, in all respvctt, 11erfofrn 01e stork
,n a€cardanee wish the approuetl ptMS, the FIofida 0uilding Codes and St. Lucie CCrunty Amendmic rim
Pie Ioltowirig build Ing permit appllcatlons aru exempt from undergang a full concurrency review roorn addllion5.
accessory s#roctures, swimmIng pools, fences, wally, Sigas, screen morns and accessory uses to another nan-residunitlal use
WARNING TO OWNER, Your fa11ure to Recard a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commettcemerit rnli5t be recorded in the publir= records of St
I*ucie County and posted on the jobsite before the first inspection. If you inkend to obtain fi nancing. consult
with lender gr all a ttorney before c:o rn ni e nc 1 ng work or retardinp, your Notice of Comrne nceinent.
r-
5'F.nature of Owner{ Lessee/Contractor as Aprit for Owner
STATE DV FLORIDA
COUNTY OF
5worr+ o Icr affirmed} and iumvibed before nee of
si€al PresenCoor_OnlineNotanzatkon
this -�7 day of �. 2DA by
Namfi of person making stateme ,
PVC QnalIV 41 nown �R Produced lde%ntif-i[a#ion
Type of IdentifiCation
Produced
nature of Notary Public• Mate of Florida )
re of Conrractor/Elrense Holder
STATE OF FLORIDA
COUNTY OP L-L)C-f
S�4ofto for off IrrnedI and sub 5[riUvo b0nre rr!e of
i / Phy€icaI Pros nre cr 0rLime NDti)nZaticn
t�. ls day of l0Wi4 , : C24 bw
dame of person rnak4rig staxement.
PerSonall n OR Produced Idea,rltication
Type of 1 L4 Cation
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Fie of Notary Public- Sti#e Of FION da I
omrniwo Nod"':: LAFI(51[m) Colt mission N
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