HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�'uc, LU U,L
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 -roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6779 Dickinson Terrace
Property Tax ID #: 3415-706-0009-000-3 Lot No. 138
Site Plan Name: Peluso Block No. 1
Project Name: Peluso
DETAILED DESCRIPTION OF WORK: I
Remove and replace existing roof cover and nail deck up to code
Install new peel & stick roof underlayment
Instal new 5V metal roof
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 4.186
Cost of Construction: $ 21,500
Generator
Sq. Ft. of First Floor:
Windows/Doors
X Roof 5/12
4,186
Utilities: —Sewer _Septic
Pond
Pitch
Building Height: 12'
OWN ER%LESSEE:
CONTRACTOR:
Name Frank Peluso JR
Name: Mauricio Orellana
Address: 6779 Dickinson Terrace
Company: One C'ongtruction & Roofing
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax: N/A
Phone No. 772-782-9782
Address: 2141 sw Cnnant avenue
City: Port st Lucie State: FI
zip Code: 34953 Fax: N/A
Phone No 772-240-9497
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail oneconstructionservicesCaDyahoo.com
State or County License CCC-1330623
If value of construction is 2500 or more, a RECORDED Notice of commencement is requirea.
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
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: xNot 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 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 attorney before commencing work or recording our Notice of Commencement.
�..�.��c-�
%�a
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie
Sworn to (or affirmed) andsy� bscribed before me of Physical Presence or Online Notarization
�i�--C
this 76 day of 6"r&kIa L—�n" 20 7Il by
ow i () to Q_ (,
Name of pe son m king statement.
�\
Personally Know OR Produced Identification
Type of Identific io Pr uced
(Signature of Nota P Iic' tate of Flori .,
\ \\SPpYPU��' ,JOSE FRESNILLO
Commission No. C�G� L 2�^� ° ( h,State of Florida -Notary Public
_* " Commission # GG 272747
My Commission Expires
December 22, 2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5 20 21