HomeMy WebLinkAboutBuilding Permit Application y
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � 1
Date: Permit Number: ` (I l I 1 ogo(D
EEVED
Building Permit Application fdpV 193
Planning and Development Services
Building and Code Regulation Division F.c:
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie co!;
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end o f line
PROPOSED IMPROVEMENT LOCATION:
Address: 946 Fra Mar PI.,Fort Pierce, FL 34982
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Legal Description: Wagner S/D Blk 2 Lots 39 and 40(or 3179-165;3944-1)
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Property Tax ID#: 2427-702-0081-000-3 Lot No.39&40
Site Plan Name: Hanna ReRoof Block No. 2
Project Name: Hanna Re-Roof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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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
attached to code. FRS will install Extreme Metal Fabricators 26 gauge 5v crimp metal to code.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a apply:
OHVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 3,500. S Ft.of First Floor:
Cost of Construction:$ 15,000.00 Utilities: Sewer.E]Septic Building Height: 1 Story-10'
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OWNERAESSEE: CONTRACTOR:
Name Nagi S Hanna Name: David Capps
Address:8706 SE Alabama PI Company: Florida Roofing Services
City: Hobe Sound State:FL Address: 8470 SE,Dharlys St. ;I
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: CC6328967
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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ENTAL CONSTRUCTION LIEN LAW INFORMATION:
/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Hanna Name:David Capps
Address:32 MuraDr.FortPieme,FL349 Address: 8706SEMabamaPl
City: Hobe Sound State: City: Hobe Sound State:
Zip: Pho Zip: 1 Phone: it
FEE SIMPLE TITL LDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:8470SED St. Address:
City.. City: 9
Zip: Phone Zip: Phone:
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OWNER/ NTRACTOR AFFI IT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify t t no work or installation h commenced prior to the issuance of a permit.
St.Luci County makes no representation . granting a permit will authorize the permit holder to build the subject structure
which' in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
struc re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In nsideration of the granting of this requested permit,I do hereby agree that I will,in all respects,�Iperform the work
accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendmentsl.
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
commencingwork o ecordin our Notice of Commencemen
/AMA
Signatur of Own r/Lessee/Contractor as Agent for Owner Signature o n actor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF ST t-ociE COUNTY OFF C�
The forgoing instrument was acknowledged before me The for oing instrument was ack I owledged before me
this«dFday of AJ p 0f5A4R&p_ ,2041 by this day of M e fYtb�- ,20_0 by
ti461 HAN/vA I �A(NA CaA2S
Name of person making statement Name of perso aking,statement
Personally Known _OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Sign ure of No ary Pu i (Signature of Notary Public-State of Florida)
��r"i,% Notary � p of Florida (lQ` (•, ��rr�nu, PETRONA PASC
Commission No. 21 Josh ��ap S Commission No. l /J ` "a� eQ 0
My Co FF 210825 ,:. .o tary Public-State o rida
as Expires0411&2019 :•? Commission#FF 9 5 6
•�;' M Comm.Expires 4 2020
""'rr""� B nded through National War,Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17