HomeMy WebLinkAbout20210430_Building Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
r `` c t` ° P to Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
23DO Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Iff OPOSED IMPROVEMENT LOCATION:
Address: 1701 S BROCKSMITH RD FORT PIERCE, FL 34946
Property Tax ID #: 2317-243-0010-0009-9
Site Plan Name:
Project Name: 1701 S BROCKSMITH RD
LED DESCRIPTION OF
REMOVE AND REPLACE ROOF SHINGLE
New Electrical Meter Second Electrical
Lot No.
Block No.
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: 3256
Cost of Construction: $ 17,000.00
_Generator ✓Roof H ! 1-2-Pitch
Sq. Ft. of First Floor: 3256
Utilities: _Sewer _Septic Building Height: 18 FT
NameARTHUR E NELSON
Address: 1701 S BROCKSMITH RD
City: Fr PIERCE State: _
Zip Code: 34946 Fax:
Phone No.
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name:ALBERTO MUNOZ
Company.-CONFORT BUILDERS, LLC
Address:393 NW STRATFORD LN
City: PORT ST LUCIE, State: FL
Zip Code: 34983 Fax:
Phone N0772 224 9110
E-MailCOBUILDERS15@GMAIL.COM
State or County License CCC1328737
it vame or construction Is Z600 or more, a RECORDED Notice of commencement 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:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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, 1 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 commencin¢ work or recording your Notice of Commencement.
Z2�L� --
/ / / r
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature%of Contractor/License Holder
STATE OF FLORA /
STATE OF FLOf;lD�4
COUNTY OF �� ( �t(t P
COUNTYOF j rC ��c
Sw n to (or affirmed) and subscribed before me of
PhyYsical Presence or_Online N tarization -
Sv�<n to (or affirmed) and subscribed before me of
/\ Physical Pres ce or_Online Notarization
this {day of 2 0 by
this of clay of , by
IV
N me of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identi ti n
Type of Identibra 'on
Produced
Produce
\\11111111/,�, c,6��
Gomez
�15ar P�'Sf__FI
( ure of ,of F or`i �—
t 'F�Tv
ommissian A GG16141
r1
nature of N ar Pu _
r b _ °CtlhlnAission P GG161404
16 4021
Commission No. ' . Expiryember i6, 2021
Expir����Ss ember
Commission No. BOnt� u Aaron
n \\\ Bonded thru Aaron Notary
nulo
Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.