HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
97 LUCM
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
PERMIT APPLICATION FOR: SAau i
PROPOSED IMPROVEMENT LOCATION:
Address: 415 NE OLEANDER AVE
Property Tax ID #: 3419-510-0209-000-6
Site Plan Name:
Project Name:
r
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF AND INSTALL NEW SHINGLE ROOF
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential iC
- T�-2 Y(T _)_�
Additional work to be performed under this permit —check all that apply:
Lot No.20
Block No. 17
Mechanical _ Gas Tank Gas Piping Shutters Windows/Doors Pond
Electric Plumbing Sprinklers Generator Roof _ Pitch
Total Sq. Ft of Construction: __. __ Sq. Ft. of First Floor:
Cost of Construction: $ `"f LP r'_)0 Utilities: Sewer _ Septic Building Height:
OWNERAESSEE:
NameTERRI LUNSFORD
Address:415 NE OLEANDER AVE
City: PORT ST LUCIE
Zip Code: 34952
Fax:
State:
Phone N o. 772-342-0744
E-Mail :TLUNSFORD@THEBUILDERSSTORE.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:JOHN TURNER
Company: STUART ROOFING
Address:132 NE DIXIE HWY
City: STUART
Zip Code: 34994
Fax:
State:F
Phone No 772-692-9854
E-Mail STUARTROOFING@COMCAST.NET
State or County License CCCO2441'I
If value of construction is 2500 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
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-
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 Home Owners Association bylaws that such
with any applicable rules, or and covenants may restrict or prohibit
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 reArding your Notic Commencement.
OE
Signature of Owner/ Less VContractor as Agent for Owner Si ature of Contractor/License Holder
STATE OF FLORIDA S ATE OF FLORIDA
COUNTY OF COUNTY OF
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 3 day of t A MALby thisday of , 2021by
r d 01� r� �LkV n-e- Y'
Name of person making statement. Name of person making statement.
Personally Known X _ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Si nature of Notary u C" o on (Signs ure of Notary Public Sty" IAPW 0RUMLEY
= missio G 208194
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Expires Ap i 17, 022 ' ? '= Commission # GG 208194
Commission No. 'Fo Commission No. Expir(56pr11)17, 2022
,:�p�' ndedThru InsuranceBIX? 3857019 Pa=
of cL� Bonded Thru Troy Fain insurance
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20