HomeMy WebLinkAboutBuilding Permit Application j
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application ®®I
Planning and Development Services Itl®t9 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 PERMITTING
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resid@htifliacounty, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3235 Mura Dr. Fort Pierce,FL 34982
Legal Description:
Silver Lake Park Addn Blk 8 Lot 21 and S 30 Ft of Lot 22(or 1661-704;3944-7)
Property Tax ID#: 2427-603-0085-000-7 Lot No.21
Site Plan Name: Hanna 3235 Mura ReRoof I Block No. 8
Project Name: Hanna 3235 Mura Re-Roof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
FRS will remove existing shingle roof. FRS will re-nail plywood to code with 8d ring shank nails. FRS
will install Tri-Built Smooth HT S/A underlayment directly to plywood. FRS will install drip edge
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attached to code. FRS will install Extreme Metal Fabricators 26 5v crimp metal to code.
gauge P
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit—check all fn apply:
EIHVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing O Sprinklers [i Generator z'Roof Roof pitch
Total Sq. Ft of Construction: 1,700 S Ft.of First Floor:
Cost of Construction:$ 8,000.00 Utilities. —Sewer Eheptic Building Height: 1Story-10'
OWNER/LESSEE: CONTRACTOR:
NameNagi S Hanna Name: David Capps i
Address:8706 SE Alabama PI Company: Florida Roofing Services
City: Hobe Sound State:FL Address: 8470 SE Dharlys St.
Zip Code: 33455 Fax: City: Hobe Sound State:FL
Phone No.772-519-2229 Zip Code: 33455 Fax. 772-545-0643
E-Mail:nagihanna@aol.com Phone No. 561-427-9286
Fill in fee.simple Title Holder on next page(if different E-Mail: florida.roofing.services@gmail.com
from the Owner listed above) State or County License: CCC1328967
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGA COMPA _Not Applicable
Name:Nagi S Hanna . / ' Name:David Cap
Address:946 Fra Mar PL,•Fort•P a e,FL 34982 Address: 8706$1E bama Pl
City: Hobe Sound �;.. State: City: How So State:
Zip: ;' i Pho Zip: P h o n'&:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:8470 SE Dhadys St Address:
City: City:
Zip: Phone: Zip: Phone:
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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
pp p 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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded 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.
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Signature f Owner Lessee/Contractor as Agent for Owner Signat a of Cbl16acJo_r/LitepYe Holder
STATE OF FLORIDA STATE OF FLORIPAI
COUNTY OF 5r Zyof COUNTY OF r1
The forgoing instrument was acknowledged before me The fo'r�oing instrument was acknowledged before me
this[ day of 1�Jd,1gm/ 20j_I by this�4 •day of )(Yf'►'IWJ 20-2 by
A/A46I HAMArff h G U;d etas
Name of person making statement Name of person making statement
Personally Known_)e OR Produced Identification Personally Known _I J OR Produced Identification
Type of Identification Type of Identification
Produced Produced
04 A A A DO/ J
*OUA
PETRONAPASCUAL
(Signa re of N to cof (Signa of ota Public- p ary u Ic I ri I�dYc St�to of FbddoJoshua DCapps Commission# FF 9957 6
Commission No. MN�IIWon FF-21OUS Commission No. �Z;Y ��m.Expires May 24,2 0
a EWr*S 0411&2019 liif hrough National Notar A n.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17