HomeMy WebLinkAboutBuilding Permit Application0
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 16 Permit Number:man
o
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential- xxxxx
PERMIT APPLICATION FOR: Roof El
PROP SEDIIVIPROVEIVIENT LOCi4Tl}ON `'
fix
Address:b 3�� ,Slhn k-1
Legal Description. Sabal Palm S/D BLK 2 LOT 4 (0.18 AC)(OR 3498-2330;3898-814)
Property Tax ID_.#: 2405-715-0019-000-0
Site Plan Name:
Project Name:,3407 Sloan Road Reroof
Setbacks Front Back:
Right Side: Left Side:
Lot No. 4
Block No. 2
Remove existing shingle roof system down to substrate, renail deck to code. Install peel & stick. Install
5-V metal "roof system to code.
0 Electric E:i Plumbing
Total Sq. Ft of Construction: 1060
Cost of Construction: $ 5585.00
[]Sprinklers
CGenerator
Sq. Ft. of First Floor: 1060
Utilities: Sewer Septic
Roof 3 Roof pitch
Building Height: 13ft
01NNER'/LESSEE'{
r
CONTRACTOR"
NameMTN Properties LLC
Name: Jesus Vasquez, Jr
Address:250 S Central Blvd, Ste 205
Company: All American Roofing & Coating of FL
City: Jupiter. State: FL
Address: 340 SE Seville St
Zip Code: 33458-8812 Fax:
City: Stuart State: FL
Phone No.9.54-358-8154
Zip Code: 34994 Fax: 772-781-4408
E-Mail: wlsjr27@yahoo.com
Phone No. 772-781-4410
Fill in fee simple Title Holder on next page ( if different
E-Mail: office@allamedcanroofer.com
from the Owner listed above)
State or County License: CCC1329384 SLC # 27197
II�� ����•�......C, a nrvvnucu rvouce or commencement is requires. I
SUPPLEMENTALCONSf RUCTION LIEN LAW
INFORMATION
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DESIGNER/ENGINEER:
x Not Applicable
pp
MORTGAGE COMPANY:
Not Applicable
N a m e: MTN Properties LLC
N a me: Jesus Vasquez, Jr
Address:
Address: 250 S Central Blvd, Ste 205
City: Jupiter
State:
City: Stuart
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
of Applicable
BONDING COMPANY:
t Applicable
Name:
Name:
Add Tess: 340 SE Seville St
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
WARN ING.TO OWNER: Your failure to Record a Notice of Commenc ment may result in your paying twice for
improvements to your property. A Notice of Commencement mu t be recorded and posted on the jobsite
before the�first inspection. If you intend to obtain financing, cons t with lender or an attorney before
commencingwork or recordingour Notice of Commencement. -
Signature of Owner/ Lessee/Contractor as Agent for Owner
Si ature of Co tracto License Hold
STATE OF-FLORIDA
COUNTY OF. r�
S A OF FLORIDA
C TY OF
The forgoing instr me t w s acknowledged before me
this26 day of 20,[�—by
The forgoing instr me t w s ac wledg d before me
this day of I— 2Eby
/
Name of person making statement
Name of person ma ing statement
Personally Known _X OR Produced Identification
Personally Known V___) OR Produced Identification
Type of Identification
Type of Identification u
Produce
ProducedenC
(Signature of Notary Pu ' -
(Ignature of Notary Public- State of_Florida )
Nola State of Florida
Commission No. GineWl?i'lltman
r P`
Commission No. 4 No IICStateofFtorida
Gin Nf. Plttrnen
My Commission GG 089398
Expires oma/2021
v My commission GG 089398
of ao�
OP Expires 07/16/2021
REVIEWS.
FRONT'
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED "
DATE
COMPLETED.
Rev. 8/2/17 .