HomeMy WebLinkAboutBuilding Permit Application I _
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: as Permit Number:
RECEO.."0 SEP 2 5 2017
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ReSlden.l lal X
PERMIT APPLICATION FOR: Roof
PRbO SED INIPROVEMENT'LOCATION:
I
Address: 8226 SANDPINE CIRCLE PORT SAINT LUCIE FL 34952 .I
Legal Description: LAKE LUCIE ESTATES PLAT NO.ONE LOT 4(OR 3788-834)
I�
Property Tax ID#: 3426-703-0018-000-4 Lot No.4
Site Plan Name: ONE Block No.
Project Name: ONE
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
i
DETAILED DESCRIPTION OF WORK I J
REMOVE EXISTING ROOF COVER
II
INSTALL NEW PEEL & STICK UNDERLAYMENT
INSTALL NEW METAL ROOD 1" CLIPLESS NAIL STRIP /26 GA
CONSTRUCTIONI. INfORMATION EI ;
Additional work to be performed under this permit—c ec` all apply:
0I
11HVAC Gas Tank ❑Gas Piping _Shutters ❑ indows/Doors
11 Electric 0 Plumbing Sprinklers E]Generator Roof ��2 Roof pitch
Total Sq. Ft of Construction: 2656 Sq. Ft. of First Floor: 2656
Cost of Construction:$ 19,000 Utilities:Z Sewer 0 Septic Building Height: 8'
OWNER/LESSEE <I CONTRACTOR:
Name HAZEL A ANTIOLA Name: MAURICIO ORELLANA
Address:8264 SANDPINE CIRCLE Company: ONE CONSTRUCTION I&ROOFING CONTRACTORS
City: PORT SAINT LUCIE State:FL Address: 2766 SW ESGARCE St
Zip Code: 34949 Fax: N/A City: PORT SAINT LUCIE State: FL
Phone No.772-835-7887 Zip Code: 34953 Fax: N/A
E-Mail:N/A Phone No. 772-519-2449 11
Fill in fee simple Title Holder on next page(if different E-Mail: oneconstructionservices@yahoo.com
from the Owner listed above) State or County License: CCC-11330623
I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
II
=j
I
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
r
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
N am e:HAZEL A ANTIOLA Name:MAURICIO ORELLANA
Address:8226 SANDPINE CIRCLE PORT SAINT LUCIE FL$OeAdd reSS: 8264 SANDPINE CIRCLE
City: PORTSAINTLUCIE State: City: PORT SAINT LUCIE ate:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE H ER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
AddresS:2766 ESGARCEST Address:
City: City:
Zip-- Phone: Zip: Phone:
I
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with Mender or an attorney before
commencing work or recording our Notice of Commencement.
I
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License H Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forig inst�u e t was acknowledged before me The forjl�g inst m11
was ckn wled ed before me
this day of ��C 20,by this ,S day of 'S 2CIA by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known y OR Produced Identification
Type of Identification Type of Identification
Produced Produced
I
(Signature of Notary P -140-snot _ (Signature of Not -
o�Paro�Bt'�. PAU� BLAIR-ALEXANDER oolraYP�e��., PAULETTEAIR;QLEXANDER
Commission No. r=. �= Commission NO. •°= otary Publ e e of Florida
Notary Public-State of Florida •,
moo;; Commission FF 995699 *off; I Commission FF 995699
'•�.;�;oFF�gp: My Comm.Expires Se �•.��,oFF��;` My Comm.Expires Sep 6,2020
REVIEWS FRONT ZONING SUPER 1 O PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE / 7
RECEIVED j
DATE
COMPLETED
Rev.8/2/17
I