HomeMy WebLinkAboutPermit Application - 5312 Palmetto DrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 22 2021_
Permit Number:
LLa.Cl1�
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1 0 W. E `- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDC Funding
PERMIT APPLICATION FOR: Re -roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5312 Palmetto Dr. Fort Pierce, Florida 34982
Property Tax ID #: Lot No. 26 & 27
Site Plan Name: Indian River Estates Unit 05 Block No. 24
Project Name:
PIAHPATIMrz r.RF_FK TRUST
DETAILED DESCRIPTION OF WORK:
RE- ROOF STANTING SEAM METAL PANEL
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Gas Tank _ Gas Piping
_ Shutters Windows/Doors Pond
_Mechanical _,
—,,, Electric —Plumbing � Sprinklers
r Generator _L Roof µ 1 Pitch
Total Sq. Ft of Construction: 1400
Sq. Ft. of First Floor: 14C�1 0
Cost of Construction: $ 16,000.00 Utilities: —Sewer _Septic Building Height: 121
OWN ER/LESSEE:
CONTRACTOR:
Name FISHEATINO CREEK TRUST
Name:
Address: 5.40 9W SlEs9JA WAY
Company: JF Martinez LLC
City: Stuart State:,EL
Address: 7178 A SW 47 St
Zip code: 34994 Fax:
City: Miami State: FI
Phone No. 772-672-0594
E- Zip Code: 33155 Fax:
Mail:
Phone No 786-542-5617
Fill in fee simple Title Holder on next page [if different
E-Mail operations(Difmartinezcontractors.com
from the Owner listed above)
State or County License C C133 91%
If value of construction Is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is S7,S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: T 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.
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie County makes no representation that is rantin 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 TOOWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvemenV to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County Ind posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with4e. der or an -attorney before commencing work or recording our Notice of Commencement.
as Aabnt for Owner
STATE OF FLOR
COUNTY OF ZS=BAINT I_
Sworn to (or affirmed) and sub cribed before me of Physical Presence or Online Notarization
this day of-' �'R 2D—Z(- by
Name of person making statement.
Personally Known t/ OR Produced Identification
Type of ldentification Produced
of Notary Public- State of
Commission No. & 25 2- (seal)
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