HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
St. Lucie County
CC o J
Building Permit Appli6@1 9 1 / 9 Department
Planning and Development Services 4 ` - a®a I
Building and Code Regulation Division Commercial ��SIC1ent +
2300 Virginia Avenue, Fort Pierce FL 34982 ` RDABLE A NA
Phone: (772) 462-1553 Fax: (772) 462-1578 1 A rem rti ® ®r- P% r%AV+P' I !! J""% i I n I I
PERMIT APPLICATION FOR: Remove and replace existing roof cover
PROPOSED IMPROVEMENT LOCATION: I
Address: 4712 Seagrape Dr. Fort Pierce, FI 34982
Property Tax ID #: 3402-608-0066-000-9 Lot No.11
Site Plan Name: Herndon Block No. 39
Project Name: H rndon
DETAILED DESCRIPTION OF WORK: I
Remove and replace existing roof cover / Pitch and flat
Install peel & stick underlayment
Install New Tamko / Heritage shingle
New Electrical Meter Second Electrical Meter
(Affidavit required)
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit -check all that apply:
—Mechanical
Electric
Gas Tank
_ Plumbing
_ Gas Piping
Sprinklers
_ Shutters
Windows/Doors _ Pond
Generator X Roof 4/12 Pitch
Total Sq. Ft of Construction: 2,181 sq. ft Sq. Ft. of First Floor: 2,181 sq. ft
Cost of Construction: $ 15,000.00 Utilities: _ Sewer _ Septic Building Height: 12'
OWNERAESSEE:
CONTRACTOR:
Name Roland D Herndon
Name: Mauricio Orellana
Address: 4712 Seagrape
Company:ONE CONSTRUCTION & ROOFING CONTRACTORS, INC
Address:2139 SW Conant Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax: N/A
Phone No. N/A
City: PORT SAINT LUCIE State: FI
Zip Code: 34953 Fax: N/A
Phone No772-240-9497
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail oneconstructionservices@yahoo.com
State or County License CCC-1330623
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 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 commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF L
Sworn to or affir d) and sub 'bed bef_ofe me of:L/Physical Presence or Online Notarization
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(Signature of Notary Publ State of Florida)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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