HomeMy WebLinkAboutpermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number
COU I v, .
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re-Rocif Mow tAI caotir-Q
PROPOSED IMPROVEMENT LOCATION:
Address: 7005 Santa Clara Blvd
Property Tax ID g: 1301-011-0049-000-8 Lot No. 19
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
-Shin le Shy
Ridge Vent - OC Ridge Ventsure
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
_ Electric
_ Gas Tank
—Plumbing
Total Sq. Ft of Construction:( QalD
Cost of Construction: $ DSO
OW
Gas Piping
_ Sprinklers
_ Shutters
Block No. 102
Windows/Doors _ Pond
_Generator Roof _Pitch
Sq. Ft. of First Floor:
Utilities: )(Sewer _Septic Building Height: 15'
Name Alfred Viscido
Address: 7005 Santa Clara Blvd.
city: Fort Pierce state: FL
Zip Code:34951 Fax:
Phone No. 813-842-0903
E-Mail: sandiviscido(Mgmail corn
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
construction is 2500 or more, a RECORDED Notice
CONTRACTOR:
Name: Robert Donovan
company: Total Home Roofing
Address: 5114 4 W Okeechobee Blvd, Suite 201
City: West Palm Reach Stater
Zip Code: 33417 Fax:
Phone No 321-452-9223
E-Mail Christa@throofinci.com
State or County License CCC1330489
is
If value of HAVC is $7,5W or more, a RECORDED Notice of Commencement is requaea.
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 TITLEHOLDER: _ 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 Counttflyy�makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Association rules,bylaws such
whichapplyhibit
tr cture. Please consult withpyour Home Owners Association ur deed for any restrictions which maor
Inconsideration 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 Ow Lessee/Contractor as Agent for Owner
STATE OF FLORIDA n
COUNTY OF—fialwip"
Swr affirme nd subscribed beft��p�%r7�me of �, Physical Presence or _ Online Notarization
thiry of 20�t by
ll
Robert Donovan
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identific roduced
(SIg&arCWNotVFy Public -State of Korida I
mm ssi Coon No. (Seal) UWIc State M Fbdde
illission
HH 133274
512412025REVIEWS
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FRONT ZONING SUPERVISOR PLANSSEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEWREVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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