HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
U`Lo L, CALL
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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 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8206 Winter Garden Pkwy, Fort Pierce, FL 34951
Property Tax I D #: 1301-605-0361-000-2
Site Plan Name:
Project Name: Reroof
DETAILED DESCRIPTION OF WORK:
Shingle and modifed bitumen reroof
New Electrical Meter X Second Electrical Meter X (Affidavit required)
CONSTRUCTION 'INFORMATION:
Lot No._
Block No.
Additional work to be performed under this permit —check all that apply,
Mechanical _ Gas Tank —Gas Piping T Shutters Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers — Generator ✓ Roof 3112 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10,200 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE-
CONTRACTOR:
Name Gulino Realty LLC
Name:
Doris E Gomez
Address: 9516 Woodborough Court_
Company:
Farfan Development Inc
City: Tampa State: FL
Zip Code: 33615 Fax:
Phone No. E-
Address:
5037 Hansard Ave
City:
Zip Code:
Phone No
North Port State: FL
34291 Fax:
(305) 992-5502
Mail: office@gsworreligroup.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail dgomez2151 @aol.com
State or County License Occi 330892
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: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
Not 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.
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
impro ents to your property. A Notice of Commencement must be recorded in the public records of St.
Lu ' Co ty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
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Si ure of Co tract - or -owner Builder as applicable
STATE OF FLORIDA
COUNTY OF
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Swo to (or affir ed) and subscribed before me of ao Physical Presence or Online Notarization
this day of 2:T(;i]_. by
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Name of person making statement.
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