HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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V a ° ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5412 DAVIS ST, FORT PIERCE, FL 34982
Property Tax I D#: 3409-111-0001-010-5 Lot No.
Site Plan Name: Block No.
Project Name: MARK STOCKER - ROOF
DETAILED DESCRIPTION OF WORK:
FLORIDA REBUILD PROGRAM - DEO/CDBG-DR PROGRAM-RELATED
FULL FLAT REROOF
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
Electric _ Plumbing _Sprinklers _Generator V Roof 1/12 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 22,704.50 Utilities: —Sewer __Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MARK STOCKER Name:ADOLFO ZUNINO
Address: 5412 DAVIS ST Company:PR-ESTO ROOFING CORPORATION
City: FORT PIERCE State: FL Address: 7650 W 26TH AVE
Zip Code: 34982 Fax: City: HIAI FAH State: FL
Phone No. 832-642-3181 Zip Code: 33016 ---- Fax:
E-mail: lenny(cNeepsouthrecovery.com Phone No 832-642-3181
Fill in fee simple Title Holder on next page (if different E-mail menny(cDdeepsouthrecovery.com
from the Owner listed above) State or County License CCC055581
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 aoorney before commencing work or recording our Notice of Commencement.
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Signature of bwner/Lessee/Contractor as Agent for Owner Signature ontra Lice a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF MIAMI-DADE
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed) and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this 13 day of April 2021 by this 16 day of July 2021 by
MARK STOCKER ADOLFO ZUNINO
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificati Type of Identif'cati n
Produced Driver i Use Jew Notary Punk sweat Farda Produced Dri icense Notary w,euc stale of Florft
ceoriel.C Zabel@ b("C Zabel@
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a err EMpres07/t&2022
(Signature of No ublic-State of Florida ) (Signature of o ry Public-State of Florida )
Commission No. GG239420 (Seal) Commission No.GG239420 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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