HomeMy WebLinkAboutBuilding Permit Application.�
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:12/1.6/2021
Planning and Development Services
Building and Code -Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
RECEIVED
FEB 141022
Building Permit Applicati6k%omitt County
Commercial Residential
PERMITTYPE:.0.�Sr� �•` ��
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ROPE,OS1=D'0P�tOU1--42 T LOCATION
Address: 7314 ,MYSTIC WAY, PORT SAINT LUCIE FL 34986
Property Tax ID #: 3322-620-0027'000-7 Lot No.22
Site Plan Name: PEPE RESIDENCE Block No.
Project Name: PEPE RESIDENCE ,
REMOVE EXISTING ROOF DOWN TO WOOD DECKING.REPLACE WITH MEW ROOF
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Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank — Gas Piping Shutters -Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: 4,102 Sq. Ft. of First Floor: N/A
Cost of Construction: $
26 500.00 Utilities: —Sewer _Septic Building Height: 15'
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Name NICK PEPE
Name:KARIBAY PORRAS
Address:7314 MYSTIC WAY
Company:JT .ROOFING INC
City: PORT SAINT LUCIE State: FL
Address:4360 SE COMMERCE AVE
Zip Code: 34986 Fax;
City:STUART State: FL
Phone No.7-72-460-7617
Zip Code: 34997 Fax:
E-Mail: NICKPEPE39@GMAIL.COM
Phone No 772-266-4495
Fill infee-simpleTitle Holder on.nextpage (if'different
E-Mail INFO@JTROOFINGINC.COM
from the owner listed above)
State or County.License CCC 1332040
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAKONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
,,Z 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 woek or installation has commenced prior to the issuance of 'a' permit.
St. Lucie County makes. no representation that is grantinga, permit will authorize the ,ermit 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 CQMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FORAMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB •SITE. BEFORE THE FIRST INSPECTION. IF YOU INTEND' TO OBTAIN FINANCING, CONSULT
WITH YOUR :LENDER• � AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner ee/Contractor as Agent for Owner
Signature of Contractor tense Holder
STATE:OF FLORID
) CUY'k—A �1
STATE OF FLORI
�. 000NTY OF )' 1
COONTY'OF . In
The f1org�ig instr m4 _ent was acknowledged before me
this l• � y of _ . . 20 8.I by
The forgoing instrument was acknowledged before me
this I l rlay of eQ-0—C 120 alby
Ii�tX 1 be v r CAS
RA'` i Ir I'"�_ 5. ,
Name of person maki'ng/statement.
Name of person making s tement.
Personally. Known ._ Y - ,OR Produced Identification ,.
:Personally Known _ OR Produced Identif..eation. _
Type 'of Identifi,cfation
Produced r% Vi �I
Type of. Identification_
Produced Ky 10 L-0) n
�_
(Si'gdature of Notary Public- State of Florida)
(Sigrikkire of Notary Public- State )
Commission v a �
�ofQFlorida
5te'"
No. '�
No. (Seal)'
Commission .9 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW'
REVIEW-
REVIEW'
REVIEW _ .
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.217/19 -
Notery PubliC'Stilt o on $iaci DaYis
Staci Davis MY Gommissiort GG 852289
• ' commission GG 952289 '
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