HomeMy WebLinkAboutsouth park garage APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (91) Permit Number:
Planning and Developmenr 5ervices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
I PERMIT APPLICATION FOR: Roof I
Address:
Legal Des
Property Tax ID #: Lot No.
J
Site Plan Name:
Project Name: Lt&±fjQiV1S6Y_)
Setbacks Front Back:
Right Side: Left
Block No.
tUtA_.OV,�_ SW t3j , r Vd'A rA &L44C, I
ACICIttionaiwor!<Woeperrormeo unaertni!iperittit—i-iit:trciiincilipty-
1]HVAC Gas Tank [:]Gas Piping Shutters Windows/Doors
Electric Plumbing []Sprinklers Elenerator Z Roof Roof pitch
cc�2e
Total Sq. Ft�3 of Construction: ,c_) S i. Ft. of First Floor: j,
Cost of Construction:$ UtilitiesIn Sewer FI Septic Building Height:
Address:Ig":fflt-,,S_/V0_.0,n QYAL-
City: -I, eonru b4,&,e &CA State: f,
Zip Code: 3V4:j5'7 Fax:
Phone CL35-7
E-Mail: WbIr h'v.S1.1Ju h 6)
Fill In fee simple Title Holder onnextpage (if different
from the Owner listed above)
Name: Jamie Cisco
Company: Sunshine Roofing, LLC
Address: PO Box 1083
City: Palm City State: FL
Zip Code. 34991 Fax:
Phone No. 772-260-8195
E-Mail: sunshineroofingllc@gmall.com
State or County License: CCC1327796
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
DESIGNER ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name; Jamie a —
Address:
Address:
City: PalmC,ity
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
Not Applicable
BONDING COMPANY: __,_Not
Applicable
Name:
Name:
Address:
Address: Po B-1m
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 andcovenantsthat 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 lender or an attorney before
work or recording vour
assent for owner
STATE OF FLORIDA
COUNTY OF Vie t -i- i n
The forgoing instrument was acknowledged before me
this -ZH achy of �, }i •4-c, 1,N t- 20Z1 by
1
C�rCYI�t; CC
Name of person making statement
Personally Knownr. OR Produced identification
Type of Identification
Produced
re of
Signature of Con or License Holder
STATE OF FLORIDA
COUNTY OF f-f-i t ; r_I ! in
The forgoing instrument was acknowledged before me
this 77iiay of i (40 ke t 20 Zi by
jl n-i i ' t SC G _
Name of person making statement
Personally Known � OR Produced identification
Type of identification
Produced
of
SM - JLE5�5�1aCA KAMPFF r�*° JESSICA KAMPFF
� N01d1i10,4 • scate of Florida Commission No. ^s „ •? {�Bilij bilc • State of Florida
Commission No. "� Commission HN 1 f plor
C mission d hh 106a97 '.'�_
8C . Gomm. Expires Mar 21, 2025 r`" My Comm; Expires Mar 21, 2025
9e, "through National Nora ^o�Ni through Nalicnai tiotary Asses Y Assn.
REVIEWS I FRONT COUNTER I
REVIEW SUPERVISOR ZONING REVIEWI REVIEW PLANS I
VEGETATIONSEA REVIEW TURTLE I MANGROVE
Rev. 8/2/17