HomeMy WebLinkAboutBuilding Permit Appl for 6839 Bronte CirAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
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
PROPOSED IMPROVEMENT LOCATION:
Address: 6839 BRONTE CIRCLE PORT SAINT LUCIE , FL 34952
W
Property Tax ID #: 3415-705-0144-000-8 Lot No.13
Site Plan Name: POLK Block No. 2
Project Name: POLK
DETAILED DESCRIPTION OF WORK:
REMOVE EXTING ROOF COVER / RE -NAIL DECK UP TO CODE
INSTALL PEEL & STICK UNDERLAYMENT
INSTALL NEW METAL ROOF 5V
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 _ Windows/Doors _ Pond
_ Electric — Plumbing — Sprinklers — Generator X Roof 5/12 Pitch
Total Sq. Ft of Construction: 31629 Sq. Ft. of First Floor: 3,629
19,500 Utilities: Sewer ht: 12�
Cost of Construction: $ — —Septic Building Heig
OWN E R/LESSEE: CONTRACTOR:
Name RICHARD POLK JR. Name: MAURICIO ORELLANA
Address: 68*19 BRONTF C'IRGI F Company: ONE CONSTRUCTION & ROOFING
City: PORT ST 1 UCIF State: _EL Address: 2139 SW CONANT AVE
Zip Code: 34953 Fax: I I
N/A City: PORT ST I CIE State: FL
Phone No. 772 769 3487 Zip Code: 34953 Fax: N/A
E-Mail: N/A Phone No 772-240-9497
Fill in fee simple Title Holder on next page (if different E-Mail oneconstructionservicesa-,yahoo.com
from the Owner listed above) State or County License CCC-1330623
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: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is heresy made to obtain a perrnil w UU uic VVVI N aliu
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
strructure. conflict
leasle consult ithpyoiurHome Owners OwnersAssociationiandrreviewyyour deed for any restrthat
ct ons which rmaor
aprohibit such
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.
11-4
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF SP,-Nv V'S C_
Sworn to (or affirmed) and subscribed before me of y Physical Presence or Online Notarization
this _ Cv day of 20 ZZ by
Name of person making statement.
Personally Known OR Produced Identification 'ol,
Type of Identification Produced y- �� a4t��I�����i11s9®�
(Signature of Notary Public- State of Florida )
Commission No.-_'0QyC,cA2- 5-1S(Seal
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
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DATE
COMPLETED
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