HomeMy WebLinkAboutpermit application 2100All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 j Permit Number:
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r L. C'. L E L" cti --``"' 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: RE ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 2100 W Esplanade Ave
Property Tax ID #: 2421-607-0025-000-3 Lot No.
Site Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
RE ROOF ASPHALT SHINGLES 2100SQFT
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Block No.
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 y Roof 2/12 Pitch
Total Sq. Ft of Construction: 2100 Sq. Ft. of First Floor:
Cost of Construction: $ ,t1,6n
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: I CONTRACTOR:
Name Jade Krest
Address: 2100 W Esl2l-anade Ave
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-971-1748 E-
jMail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: LILIAN VARELA
Company: BUILDERS 360 INC
Address: 1811 Sugarwood Ln
City: Clermont State: FL
Zip Code: 34715 Fax:
Phone No 786.333.6144
E-Mail
State or County LicenseSCC1332008
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
yip: Phone_ Zip: ___ Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I ceµif�, that no wort; or installation has commenced prior to the issuance of a permit.
y Luris County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
K•^ Ci�nzll�t: with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
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
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 our Notice of Commencement.
Signatu/yi, fVVactor - or - Owner Builder as ap
able
STAtt OF FCORI A
COUNTY OF
sworr, to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
ttii: _ day of 20a by V.i�w•74—
fJcrr&e of person making statement.
Personally Kno r OR Produced Identification ✓
Type of Identif Produced
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