HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/23/2021 Permit Number:
Building Permit Application
Planning and Development 5 rvices
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort PiIerce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8405 FORT WALTON AVE FT. PIERCE, FL
Property Tax ID #: 1301-606-0030-000-6
Site Plan Name: LEVY, F RANCES
Project Name: LEVY, F RANCES
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLES AND DAMAGED DECKING UP TO 11SQ
INSTALL "PEEL & STICK" ON ROOF DECKING UP TO 11 SQ
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Lot No. 30
Block No. 57
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 X Roof 5:12 Pitch
Total Sq. Ft of Construction: 1022 Sq. Ft. of First Floor: 1022
Cost of Construction: $ 6116.00 Utilities: —Sewer _Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name FRANCES I F\/'Y
Name: SEAN CARTER
Address: 8405 FORT W 0-TON AVE
Company: LSCI INC.
City: F� T PIGRf`G State: FL
Zip Code: 34951 Fax:
Phone No. 772-370-4774 E-
Address: 7300 BRYAN DAIRY RD SUITE 400
City: SEMINOLE State: FL
Zip Code. 33777 Fax: 727-683-9854
Phone No 727-571-4141
Mail: I _FVYCLAN44GNIAIL_COM
Fill in fee simple Title Holdelr on next page (if different
from the Owner listed above)
E-Mailgean.carter)Su tecsolareneray.com
State or County License CGC 1329896
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phon
FEE SIMPLE TITLE HC
Name:
Address:
City:
Zip: Ph
Not Applicable
State
_ Not Applicable
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:g�
Address:
City:
Zip: Phone:
_ Not Applicable
te:
Not Applicable
OWNER/ CONTRACTOR AiFFIDVIT: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 your Notice of Commencement.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF _�' I-) C,ie'
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this � day of 20� i by
Name of person making statement.
Personally Known >-S_ OR Produced Identification
Type of Identification P :;d-
(Signature of Notary Public -State of Florida)
Commission No. — CIS` i•3:�_ (Seal) � Notary Public state of Florida
490
Thang Phu
My Commission GG 975932
a^ Expires04/OS!?024
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