HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number:
CC,Lco-�,
c e L � -- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Co m me rcia l Residential X
4
2300 Virginia A venue, Fort Pierce FL 34982
Phone : ( 772 ) 462- 1553 Fax : (772 ) 462-1578
PERMIT APPLICATION FOR : ROOF
PROPOSED IMPROVEMENT LOCATION :
Address : 6791 Dickinson Ter Port St Lucie , FL 34952
Property Tax I D # : 3415-706-0006-000-2 Lot No. 135
Site Plan Name : Davis Block No . �
Project Name : Davis
DETAILED DESCRIPTION OF WORK :
Remove exiting roof cover
Install new underlayment peel & stick
Install new shingle / Owen comings
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
_ E l e ct ric _ Plumbing _ Sprinklers _ Generator _ Roof � � Z.. Pitch
Total Sq . Ft of Construction : 3022 Sq . Ft. of First Floor : 3022
Cost of Construction : $ 15, 000 Utilities : _ Sewer _ Septic Building Height :
OWNER/LESSEE : CONTRACTOR :
Name Eleanor Davis Name : Mauiricio orellana
Address :
6791 Dickinson Terrace Company .. One Construction & Roofing Contractors
City : Port Saint Lucie State : _ Address : 2139 sw Conant Avenue
Zip Code : 34952 Fax : City : Part Saint Lucie State ,.,-. .Fl
Phone No. 772'673-9945 Zip Code : 34953 Fax:
E- Mail . n/a Phone No 772-240-9497
Fill in fee simple Title Holder on next page if different E-Mail oneconstructionservices@yahoo.com
from the Owner listed above) State or County License CCC-, l 330623
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.
SUPPLEM ENTAL CONSTRUCTION LIEN LAIN INFORMATION :
DESIGNER/ENGINEER. N od rr 'cable MORTGAGE COMPANY: .�-y�' Not Applicable
Name : . - Name :
Address : _ Address :
City : State : City : ,�°"" . .�..�_,.,.._ ..State .
Zip : Phone Zip: Phone :
FEE SIMPLE TITLE HOLDER. � � Not Applicable BONDING COMPANrfv-'-- J � Not Applicable
Name : Name :
Address : Address :
City : City:
Z ip : ,��3 Phone : Zip * Phone :
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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 fender or an attorney before commencing work or recording Notice of Commencement.
0 ..4 04,(L
Signature of Owner/ Lessee/Contractor as Agent for owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF._._ � ` ��,��. � � COUNTY OF
Sworn to ( or affirmed ) and subscribed before me of Sworn to ( or affirmed) and subscribed before me of
A000 al Presence or online Notarization �`�Ph dal Presence or Online Notarization
this��0W0 _"_
��Y of ��A. 202 by tr� is � ,5� d a of L-P\ `�—..'.!. 202d by
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Name of erson making statement. Name ofperson mafcin statement P g g
Personally Known �R Produced Identification Personally Known t/ OR Produced Identification
Type of Identification Type of identification
Produced Produc
Wo
Ckly -ALEXANDER
(Sign ature of Notar u ic- Stat o aY �� �s� PAIiLET1'E SLAR-ALEXANDER { natuttiyof ` otary Pu R ",0fNptMi 1)c • State of Florida
`�� `; Notary �ubHc - State of Ala 'da :� � = Cammission # GG 487031
Commission No. —•. �' _ - �� � � � al Commission � GG 98103 mission No. - . ° MYCam , �xpi s 5ep 5 , z02a
&PIPof �,;' M� Comm , expires Sep � , �f4od throu����al Notary Assn,
. Bonded through National Notary ssn .
REVIEWS FRONT ZON I NG SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COU NTE R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATA
RECEIVED
DATE
COMPLETED
ev . 5/ 6720
5