HomeMy WebLinkAboutPermit Applic for 5210 Palmetto Dr (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I P4 f y
Date: Permit Number: �!
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE -ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 5910 PalmPttn dr Fort PiPrCQ FI 14982
Property Tax ID #: 3402-606-0085-000-2 Lot No.17-18
Site Plan Name: Wince Block No. 24
Project Name: Wince
DETAILED DESCRIPTION OF WORK: I
REMOVE EXTING ROOF COVER (SHINGLE) / RE -NAIL EXITING DECK UP TO CODE
INSTALL NEW UNDERLAYMENT / PEEL & STICK / TITANIUM
INSTALL NEW METAL ROOF 1" NAIL STRIP, 26 GAUGE / MILL FINISHN
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
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 X Roof 5/12 Pitch
Total Sq. Ft of Construction: 3,725 Sq. Ft. of First Floor: 3,725
Cost of Construction: $ 19,500 Utilities: —Sewer _ Septic Building Height: 22'
OWNER/LESSEE:
CONTRACTOR:
Name MICHAEL S WINCE
Address: 5210 Palmetto clr
City: FORT PIERCE State: _EL
Zip Code: 34982 Fax: N/A
Phone No. 772-983-0045
Name: MAURICIO ORELLANA
Company: ONE CONSTRUCTION & ROOFING CONTRACTORS
Address: 2139 SW CONANT AVE
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax: N/A
Phone No 772-240-9497
E-Mail: NIA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail oneconstructionservices pnyahoo.com -
State or County License CCC-1330623
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
MORTGAGE COMPANY: x Not Applicable
Name: _
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 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 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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID,,,
COUNTY OFr..� `•��� C
Swornap_(or affir ) and subscribed before me of physical Presence or Online Notarization
this `�\'`'d'ay of 6 -[ 20,-y
Name of person making statement.
Personally Known `� OR ProcWced Identification �r
Type of Identification Prod
(Signature of Notary Public- a of Florida)
PAULME BLAIR•ALEXANDER
:g ,` �:
Commission No. � � )
(Seal �,�.; Notary Public • Stat: of Florida
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Commission #GG 487031
My Comm, Expires Sep 6, 2024
Bonded through National Notary Assn.
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