HomeMy WebLinkAboutBuidling Permit App , guest houseAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date;
Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 3498.2
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re Roof
PROPOSMIMPROVEMENT LOCATION:
Address: 290 N Header Canal Rd
Property Tax ID 4: 2212-232-0001-000-7
Site Plan Name:
Project Name: __
' ETAILEDDESCRIPTION OF WORD:
Re roof -shingle to metal
New Electrical Meter Second Electrical Mete
CONSTRUCTION :INFORMATION:
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: _ 1U 0 Q
Cost of Construction: $ 1,000
- OWN ERAESSEE.-
Name Lorene A Capretta
Add ress:290 N Header Canal Rd
City: Fort Pierce State:
Zip Code: 34945 Fax:
Phone No.
E-Mail:
Generator L Roof 5�` Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CQNTRA+CT4R
Name: Ronnie Aaron Reymann
Company: RA Reymann Inc
Address:19150 5E County Line Rd
City: Tequesta State: FL
Zip Code: 33469 Fax:
Phone N0561-719-1208
E-Mail rabuilderone@bellsouth.net
State or County License CCC1330169
11 V MUC uc LUMLru"uun is LDuu or More, a KtL UKUtU Notice 01 commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL. CONSTRUCTION LIEN LAW INFORMATION:
E GNE~ /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
Naive: Name:
Address. Address:
City: City:
k
Zip: Phone: ! Zip: Phone:
3
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 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: roam additions,
accessary 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 Iobsite 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.
ry
Signatu caner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI �
STATE OF FLORID
COUNTY OF
COUNTY OF �
5 orn to (or affirmed) and subscribed before me of
N Ptysical Presence or Online Notarization
S# orn to for affirmed) and subscribed before me of
Physical Presence or Online Notarization
thi� day of 2021 by
thi day by
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*Naeperson
Name dY person making stateme .
making Uviment.
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Personally Known OR Produced Identification
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Type of4&,n + ati n
Personally Known OR Produced Identification
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No. ._ MMc��lffa7e2ea
NoWy P011C State of flCommission
Commission No. �=4U78
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ExpirB� 01/07/2025
Expires oi/07/2 6
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
5EATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ke7_5T6/20