HomeMy WebLinkAboutBuilding Permit App main house onlyAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
I LLCLlC
L Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re Roof
PROPOSED tM:PROVEWNT LOCATION;
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 Pitch
Total Sq. Ft of Construction_Sq. Ft. of First Floor: _
Cost of Construction: $ 33,000 Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:..
CANTRACTQF 4. _.,._ ..:...
Name Lorene A Capretta
Name Ronnie Aaron Reymann
Address:290 N Header Canal Rd
Company: RA Reymann Inc
City: Fort Pierce State:
Address: 19 150 SE County Line Rd
Zip Code: 34945 Fax:
City: Tequesta State: FL
Phone No.
Zip Code: 33469 Fax:
E-Mail:
Phone No561-719-1208
E-Mail rabuilderone@bellsouth.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County LicenseCCC1330169
WO UC u%.u$IauuLLcvio is cavv or more, a ntLuKuto NoIlce oTLommencement is required.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION E.IEN.LAW'INFORMATf4N. `.. `.
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
I City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: T Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone:
i City:
3 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. Luci6 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 our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Lice older
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF
,
COUNTY OF_
Sv+orn to (or affirmed) and subscribed before me of
Svybrn to (or affirmed) and subscribed before me of
P�sical Pr se ce or Online Notarization
day of 2020 by
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� P sical P es nce or Online Notarization
thi day of - ' 202q by
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Name of person making s6lement.
Nam of person making stat ment.
Personall own Produced Identification
Personally Known OR Produced Identification
Tyof entification
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Type of Identifica6on—
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Produced
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(Signature of Notary P lic a
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Commission No. µy HH078293
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REVICWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
QATE
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RECEIVED
DATE
COMPLETED
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