HomeMy WebLinkAboutvasquez permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/4/2021 Permit Number:
® J _
�rt ° 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: rerOOf
PROPOSED IMPROVEMENT LOCATION:
Address: bul8 Palmetto Drive
Property Tax I D #: 3402-607-0103-000-8
Site Plan Name: Vazquez
Project Name: Vazquez
[DETAILED DESCRIPTION OF WORK:
Remove existing roof system down to decking and renail to code
pitched roof. install hi temp underlayment, install 5v metal roof system
flat roof; install modified bitumen roof system
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential x
Lot No. 16,17 & 18
Block No. 18
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 5/12, 2/12 Pitch
Total Sq. Ft of Construction: 3000 Sq. Ft. of First Floor: 3000
Cost of Construction: $ 26500.00 Utilities: —Sewer _ Septic Building Height: 20
OWNER/LESSEE:
CONTRACTOR:
Name Jose Vazquez
Name: Richard Colletti
Company: Leakbusters Roof Repair
Address: 6018 Palmetto Drive
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Address: 3420 25th street sw
City: vero beach State: fl
Zip Code: 32968 Fax:
Phone No 7723328450
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail richiecolletti@gmail.com
State or County License CCC1330976 29763
- __.. ... ....--, a 'WnvcW ,wuLC v1 wrnrnencemen'C is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI?p LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —Abt Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
__XNot
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Applicable
BONDING COMPANY: VNot 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 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: 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 co mencing work or recording our Notice of Commencement.
Jose Vazquez�ti
a j
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF C � ^
STATE OF FLORIDA
COUNTY l uC I c/
OF
Swgrn to (or affirmed) and subscribed before me of
�(_ sical Presence or Online Notarization
Sworn to (or affirmed) and subscribed before me of
V Ph sical Prese ce or Online Notarization
this day of 2020 by
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this day of 2020 by
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Name of person making statement.
Na a of person making statement.
Personally Known _ OR Produced Identification
Personally Known_ OR Produced Identification
Type of Identification
Type of Identification
Pro ed
P ed
(Sig t re lic- Sta
e o r, on
_s*'R• •.'+� lUFhfERINE HAVENS
(Si ature of Notary Public-
a on HAVENS
� TMERINE HAVENS
Commission No
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( e�UIRES:DEC04.2021
Commission No.
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lOndel thntgh 1st State Insurance
D6004,2021
BonGW through 1st State Insurance
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