HomeMy WebLinkAboutBuilding Permit ApplAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
U 7INTOMMUM D
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: Re -roof
PROPOSED IMPROVEMENT LOCATION:
Address I Y 0 R _V a � " f- C Pr C/ C/--
Property Tax ID #: 2428-313-0006-000-3 Lot No.
Site Plan Name: Ramirez Block No.
Project Name: Ramirez
DETAILED DESCRIPTION OF WORK:
Remove exting roof cover
Re -nail extininq Deck / Install new peel & stick underlayment
Install 5v metal roof
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 _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator Roof 4/12 Pitch
Total Sq. Ft of Construction: 2219 Sq. Ft. of First Floor: 2219
Cost of Construction: $ 8,000 Utilities: —Sewer _ Septic Building Height: 12'
OWNER/LESSEE:
CONTRACTOR:
NameAndres G Ramirez
Name: Mauricio Orellana
Address:1408 Dade Rd
Company:One Construction & Roofing contractors
City: Fort Pierce State:
Zip Code: 34982 Fax:
Phone No.772-569-1178
Address: 2139 sw Conant Avenue
City: Port Saint Lucie State: FI
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
If value of construction is 2500 or more, a Kt:LUKUtU Notice oT Lommencemeni i5 requireu.
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: Phone
Zip: Phone:
FEEISIMPLE TITLE HO R: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zi 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 our Notice of Commencement.
SALO
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF � a_
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
L,,�n�kal Pres a or Online Notarization
this day of -�� 2021 by
yrsical Pres n ,e or Online Notarization
ihhiiT ay of 2024 by
1
Name of person making statement.
Name of person making statement.
Personally Known i--' OR Produced Identification
Personally Known2--� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
1
(Signature o otary Public- State o 4El
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Notary public •State
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