HomeMy WebLinkAboutPermit Appl for 5316 Silver Oak DrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S� I-, LUTC
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: Re -roof permit
PROPOSED IMPROVEMENT LOCATION:
X
Address: 5316 Silver Oak Dr Fort Pierce FI 34982
Property Tax ID #: 3402-606-0155-010-7 Lot No. 28 and 29
Site Plan Name: Brancaccio Block No. 25
Project Name: Brancaccio
DETAILED DESCRIPTION OF WORK: I
REMOVE EXTING ROOF COVER / RE -NAIL ALL DECK UP TO CODE / INSTALL NEW PEEL & STICK UNDERLAYMENT
INSTALL 5V METAL ROOF
INSTALL MODIFIED BITUMEN ROOF SYSTEM ON FLAT ROOF / (1) BASE SHEET AND (1) CAP SHEET
New Electrical Meter Second Electrical Meter
(Affidavit required)
I CONSTRUCTION INFORMATION: I
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 _ Roof 4/12 Pitch
Total Sq. Ft of Construction: 2,380 Sq. Ft. of First Floor: 2,380
Cost of Construction: $ 17,5000 Utilities: —Sewer —Septic Building Height: 12'
OWNER/LESSEE:
CONTRACTOR:
Name CHRISTINE BRANCACCIO
Name: Mauricio Orellana
Address: 5316 SILVER OAK DR
Company: ONE CONSTRUCTION & ROOFING CONTRACTORS, INC
Address: 2139 SW Conant Avenue
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: N/A
Phone No. 772-972-7732
City: PORT SAINT LUCIE State: FL
Zip Code: 34953 Fax: N/A
Phone No 7727240-9497
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail oneconstructionservices(a)-yahoo.com
State or County License CCC-1330623
If value of construction is 2500 or more, a RECORDED Notice of commencemem is requireu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
_
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 attornev before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF • Imo,
Sworn tvzaffirmed) ands bscribed before me of Physical Presence or Online Notarization
this&D day of 20_a�k by
Name of person making statement.
Personally Known L- OR Produced Identification
Type of Idepti. iication Pro
(Signature of Notary Public- State of Florida )
Commission No. 1a05 (Seal)
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RECEIVED
DATE
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PAULETTE BLAIR•ALEX00ER
;_ .� •� Notary Public . State of Florida
�.
Commission ar GG 987031
My Comm. Expires Sep 6, 2024
Bonded through National Notary Assn.
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