HomeMy WebLinkAboutKarla Boles Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number :
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!J l];\Q.1 1.:s U Til t;i ~ Building Permit Application
Planning and Development Services
Building and Code Regulation Di vision 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: 8604 Salerno Rd. Fort Pierce, FL 34951
Property Tax ID#: 1301-609-0011-000-6 Lot No .
Site Plan Name : Block No .
Project Name:
I DETAILED DESCRIPTION OF WORK: I
Remove and Replace underla~ment and shingles. Re-nail decking according to code
If needed.
New Electrical Meter Second Electrical Meter (Affidavit required)
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit -check all that apply :
-Mechanical -Gas Tank _Gas Piping -Shutters _ Windows/Doors -Pond
Electric _Plumbing _ Sprinkle rs -Generator .:L_ Roof Pitch -
Total Sq . Ft of Construction: 2,608 sqft. Sq. Ft. of First Floor: 2,608 sqft.
Cost of Construction: $ 11,700.00 Utilities: -Sewer _Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Karla Boles Name: Larry McDonald
Address: 8604 Salerno Rd . Company : Southeast General Contractors Grau(!, Inc
City: l=ort Pierce State:.E:. Address : 10380 SW Village Center Dr. #232
Zip Code: 34951 Fax: City: Port St. Lucie State :...EL
Phone No . (772)453-3667 E-Zip Code: 34987 Fax :
Mail: karla.boles20l1@gmail.com Phone No ~561}756-1321
Fill In fee simple Title Holder on next page (If different E-Mail LMcDonald@southeastcontracting.com
from the Owner listed above) State or County License CCC1330002
If value of construct ion 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 requ i red .
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE R/ENGINEER: _ 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 granting a permit will authorize the permit holder to build the subj ect structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or proh ibit such
structure. Please consult w ith your Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested perm it, I do hereby agree that I will, in all respects, perform the work
in accordance w ith the approved plans, the Flo rida Building Codes and St. Lucie County Amendments .
The following building permit applicat ions 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
WARN ING 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
h d b f . k d" N . f C w it len er or an attorney e ore commencin g wor or recor m g y our ot1ce o ommencement. /4 A-A,..,
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORfAL .
COUNTY OF . v,. <.
Sworn to (or affi rr5ed) and subscribed before me of Physical Presence or __ Online Notarization
this ZO~(day of ._c.,,,..,.,,.1 , 20llby
t,_!iic.r:.':/-P1'72.r2n .. lJ
Name of person making statement.
Personally Known~ OR Produced Identification __
Type of Identifi ca tion Produced
4~1.J;t-/:i~·
(Signature of Notary Public-State of Florida)
II ... :--..,,.,....,,....,,...., .... ., ... ...,-_ .. ,.. ... .., ...... ...,-._ ....
Commiss ion No . C,l1 z,1'!67 { (Seal) ,> ~' N~lary Publ ic Stale of Flor ida > ,> , • N1collette Benichio ,> l \ c;; J My Comm lu ion GO 239673 ,>
• o, Expire, 07/18/2022 l
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DAT E
COMPLETED
Rev ':J/L U/Ll