HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFOrUST � BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �Permit Number:
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 x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT-LOCATLON.'"
Address: 6006 PAPAYA DR
Legal Description: INDIAN RIVER ESTATES -UNIT 9- BLK89 LOT 9 (MAP 34/12S) (OR 1589-1987)
Property Tax ID #: 3402-610-0577-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION,-'
OF WORK:
Right Side: Left Side:
Tear off shingle roof install new metal roof on a 5/12 pitch /
5 v crimp FL # , /d �� ` 4 &._( -A 5�_I _�(
Lot No._
Block No.
CONSTRUCTION, INFORMATION:
Additional work to e e orme under this permit —check a apply:
❑HVAC F] Gas Tank Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2600 Sq. Ft. of First Floor:
Cost of Construction: $ 00 g7-504 n 6 Utilities: 0Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTORf:.
Name Jonathan Pruitt Ella AM Pruitt
Name: Richard A. Newland
Address: Ella A M Pruitt 6006 Papaya Dr Fort Pierce, FL 34982
Company: Richie the Roofer
City: Fort Pierce State: FL
Address: 6704 Santa Clara Blvd
Zip Code: 34982
City: Fort Pierce State: FI
Phone N 7�
Zip Code: 34951 Fax:
E-Mail:'Alone
No. 772-473-6197
Fill in fee simple Title Holder on next page ( if different
E Mail: richieroofer@yahoo.com
from the owner listed above)
State or County License:
If value of construction is $2S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN`LAUVANFORMATION'
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent &&ature of Contractor/License Ho
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLucie COUNTY OF St Lucie
The oing instrument was acknowledgeMy
ore me
thi ^ day of Oct: , 20
of person ackn
Public- State of Florida
Notary Public - State of Florida
Commission g: + n •= Commission 7!(fsbag4730
=1-WP My Comm. Expires May 27, 2015
F. Bonded throunh Nifim:il
Revised 07/15/2014
The forgoing instrument was acknowled} ed before me
this � day of n�_ . 20� by
(N me o person acknowledging)
(Signature of N!otiMy Public- State of Florida )
ersonally Kno R rodLiced Identification
e of Identifi "ae , ce
' * ►`�= Notar M HUFF
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Commission N - .=• : m ssionj Florida
M C FF 234730
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_ Y 27, 2019
tonal Notary Assp
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