HomeMy WebLinkAbout#44751 - Zavala, Carlos permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/10/2022 Permit Number:
917. LU (ILA
° 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: 6701 Green Dolphin ST Fort Pierce FL 34951
Property Tax ID #: 1301-607-0292-000-3 Lot No. 13
Site Plan Name: Zavala, Carlos Block No. 81
Project Name: Zavala, Job Re -Roof
I DETAILED DESCRIPTION OF WORK:
•- •es °
I InderlaVment - WeatherLock
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_ Electric
Plumbing
Total Sq. Ft of Construction: 2605
Cost of Construction: $ 14, 800
_Sprinklers _Generator Roof 5 Pitch
Sq. Ft. of First Floor:
Utilities: x Sewer _ Septic Building Height: l5'
OWNER/LESSEE:
CONTRACTOR:
Name Zavala Carlos
Name: Robert Donovan
Address: 6701 Green Dolphin Street
Company: Total Home Roofing
city: Port St. Lucie state: FL
Zip code: 34951 Fax:
Phone No. (813-412-9151
Address: 5114 W Okeechobee Blvd, Suite 201
city: West Palm Beach State: Fl
Zip Code: 33417 Fax:
Phone No 321-452-9223
E-Mail: iudith.duran(8.throofing.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-mail Christa0throofing.com
State or County License CCC1330489
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:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 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
Signatures Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF_
Sworn to (or affirmed) and subscribed before me of X Physical Presence or
this - day of March 202by
Robert Donovan
Name of person making statement.
Personally Known X OR Produced Identification
Type pf Identification Prod c�I
Commission No. IR 11—WO q (Seal) ® Notary Public State of Florida
Judith Duran
M commission
fill EXp 97P11%2025
Online Notarization
REVIEWS I EGETATIEATURTANGRO
COUONT NTER I REVIEW W I INGS REVIEW UPERVISOR I REVIEW I PLANSV EVIEWON I S EV EWLE I MREV EWVE
RECEIVED
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