HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION 'to BE ACCEPTED
Date: 11/20/2021 ___ Permit Number.
ti y
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, pout Pierce Fi .14982
Phone: (772) 462-1SS3 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Re -Roof
PROPOSED IMPROVEMENT LOCATION: Roof �—
Address: 5510 Place Lake Drive, Fort Pierce, FL 34951
Property Tax ID #: 1312-502-0066-000-2
Site Plan Name-, PORTOFINO SHORES -PHASE TWO- (PB 43-33)
Project Name: Gino Disisto Project
DETAILED DESCRIPTION OF WORK
Roof Replace'nent Boral Concrete Tile with #301b Felt and Boral TileSeal Underlayment
Lot No, 75
Block No. Pe s3-33
INFORMATION
CONSTRUCTION
E I f
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank _ Gas Piping _ Shutters
Electric i Plumbing
Total Sq. Ft of Construction: 2555
Cost of Construction: $ 36,250
Sprinklers
_ Generator
Sq_ Ft. of First Floor:
_ Windows/Doors
x Roof 5i 12 Pitch
Utilities: —Sewer V Septic Building Height: 20Ft
OWNERJLESSEE:
CONTRACTOR:
Name Gino Disislo
Name: Ronny Hanna
Address: 5510 Place Lake Dr
Company: Expert Roofing Services
City_ Fort Pierce State: FL
Address:1820 SW Bay_shore Blvd. _
City: Port St Lucie _ State: FL
Zip Code: 34951 Fax:
Phone No. 561-644-0611
Zip Code: 34984,_ __A Fax:.1______
E-Mail: tadisisto@hotmail.com
Phone No 772.240_0081�
E Marl ronny@expertroofingfLcom
State or County Licerise.CCC1332394
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is 57sm or more, a KLLUKULU rvorice OT wrnmencemc1n 14 i cyuucu.
If value of HVAC is $7,S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City:
Zip: Phon
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:Address:
Zi p: Phone:_
Name: —
Address: � ----
C:ity: � _ � State: —�
Zip: _ _ Phone: —
BONDING COMPANY:
Narne: _
Address:
Zip: Phone:
____Not Applicable
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. Lurie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in cortlrct with any applicable Home Owners Association rules, bylaws or and covenant: 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 5t. 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
OWARNING 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CON51jLT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y OF COMMENCEMENT:'
Signature of Owner/ lessee/Contractor as Agent for Owner Signa of Co ac License Holder
STATE OF FLOR A STATE O FLOR D
COUNTY OF L QukC:% . I COUNTY OF 1 V C
The forgoing instrument was acknowledged before me
this day of�QJ4PAt)121� , 26ZZ by
Car tsxn
Name of person rnaking statement.
Personally Known OR Produced Identification
Type of Identification {�
Produced "
IS
of
The forgoing instrument was acknowledged before me
this -7day of kCCC11!O&A 202t. by
a�
Name of person akink statement.
Personally Known _(/ tsAtC,etS�fetQ+rARb�Nv
Type of Ident cation .�s+► Notary Pub1K Slate of Fiorida
Produced_—k_ ( Elie Samir Hanna
my Commission HH 0842"
Expire$ 01124aC25
(SigrtatPure of Notary Public State of Florida )
u
Commission No. �0% (Seal)
Seal
Commission No. (2iq �__� {- )
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW
COUNTER
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
_-----
— ----- --- t --
DA1 E
_
COMPLETED
ev.1/771Notary
e%
Pubbe Slate of Florida
M Carlson
Jeffrey
Exp viii 07/ZV2022