HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-21-2017 Permit Number: O ��
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 x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5370 Slash Pine TRL
Legal Description: 7 34 40 S 1/2 OF NW 1/4 OF NW 1/4 OF SE 1/4 OF SW 1/4-LESS W 60 FT-(1.04 AC)(OR 1955-2168)
Property Tax ID#: 1407-342-0020-000-9 Lot No.
Site Plan Name: Kraft Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED-DESCRIPTION OF WORK:
Tear off shingle roof Install 5 v metal roof
CONSTRUCTION INFORMATION:
Additional work to be nertormed un er t is permit—check all that apply:
11HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator W1 Roof
Total Sq. Ft of Construction: 2500 5 Ft.of First Floor:
Cost of Construction:$ 10512.75 Utilities:uSewer Septic Building Height: 15'
OWN ER/LESSEE: CONTRACTOR:
Name Kurt Kraft Judith Kraft Name: Richard A. Newland
Address:5370 Slash Pine TRL Company: Richie the Roofer
City: Fort Pierce, State:FL Address: 6704 Santa Clara Blvd
Zip Code: 34951 Fax:866-610-8652 City: Fort Pierce State:FL
Phone No.772-321-5951 Zip Code: 34951 Fax: 866-610-8652
E-Mail: Phone No. 772-464-4329
Fill in fee simple Title Holder on next page(if different E-Mail: richieroofer@yahoo.com
from the Owner listed above) State or County License: CCC058021
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i �^
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: RichardANewland Name:
Address: 905,3th st sw Address:
City: Vero Beach City:
Zip: 32962 Phone: 772-47M197 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 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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded 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.
gnature of Owner/Lessee/Agent W ature of Contractor/License Holder-----"---
STATE OF FLORIDAL STATE OF FLORIDA l
COUNTY OF COUNTY OF 0
The for ng instrume as acknowledge fore me The for of g insnuent was acknowledge before me
t is day of C 20 y this May ofJ 20 by
Lot
(Na of person acknowledging) (Name of person acknowledging)
re tar ublic-State of Florida) (Signat f tary Public-State of Florid
Personally Known OR Produced Identification er�o�mno, OR Produced Identification
T lcation Produced uced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS