HomeMy WebLinkAboutBuilding Permit Application (2)jp- Iv.
-All AP' iIfICABLE:,.INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
202 -0007
Permit Number: 2108
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Building Permit Application
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TiDplrnent.'Service S
0,01"6de"*i4eguiatipn Division Commercial Residential XXXX:
.2300,W4fni0,'Ave`nud-',. Fort �..ierlce FL 34982
P -1553 Fax:(772) 462-1578 CBDG Funding
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"Pt iTT"A00LICATIN F" " OR: REROOF
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5'.g.!,1 .,��;6917.`Chaska St.", Ft. Pierce, FL 34982
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Addres
P r6perW
Lot No. I
.34,P94163-0048-000-0000
Tax ID
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01 1'jll;it: I
C6 a"Ap''
Slopped Roof.
Block No.
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Prqje141
aska"
Slopped Roof
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pie
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tztfi LE tStRlPf-lb,Nj',&
-,� . .....
wb'R,
dfingl- �erribve
and replace shingles
hi'n' gles-OL30,11310
Cambridge
Underlayment-
FL 10626 R23 Felt Buster
New;E1lkfiricalM ter j
Second Electrical Meter (Affidavit required)
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do 7t,-vWTR 10-
-TIONIN 0 RmA�
I IUNT
Atlditip'oljyir6rk to be pe Formed
under this permit— check all that apply:
in al
Gas as
Tank Gas Piping Shutters Windows/Do6rs
Pofidp.,
e - tic,
u m
bing Sprinklers Generato r XX Roof
Pitch
T6tal
'I
Sq., Ft;,o i'c6nstructio
i Sq. Ft. of First Floor:
C?st 4,XohstrUction: $ 8000
Utilities: Sewer Septic Building Height:
CONTRACTOR:
Name6thyCookl. 1:i
Name: Ray Villanova
'-e�"JTlt!6377 Chaska Sty
company: Villanova Construction Inc.
City WEN'Pi6rce I
State:
Address: 2908 Oleander Blvd
,11 :cote1 :0 ",iii-.13408-Z: Oax:
—EL
City: Ft. Pierce state: F1
E-
Zip Code- 34982 Fax:
Phone No 772 940 6654
Ill-16 IeTitle Ho'l ler on
next page (if different
E-Mail rayvillanc@-aol.COM
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Adr1isted abb
State or County License -rlCr.1327240
:ivT value;pt,constructipn is,z5uu or, more, a RECORDED Notice of Commencement is required.
X1.,..;.:".. till
value df H VC'ii,$7;506 or!more a RECORDED Notice of Commencement is required.
SUPPLEMENTAL- CONSTRUCTION--LIEN.-LAW _INFORMATION: -
DESIGNER/ENGINEER: I _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: ! State: City: State:
Zip: Phone I Zip: Phone:
FEE SIMPLE TITLE HOLDER:; _ Not Applicable
Name:
Address:
City:
Zip: Phone:
III
BONDING COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIiDVIT: 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 conflicts with any, applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such,
structure. Please consult with your Homeowners 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: Yourfailure to Record a.Notice of Commencement may result in paying twice for
improvements to your p'roperty. A Notice of Commencement must be recorded in the public records of St.
Lucie County and postedO the jobsite before the first inspection. If you intend to obtain financing, consult
with Ipndpr nr an attnrnPv hpfnrp rnmmpnrinp work or rprnrdinp vnur Nntirp of Cnmmpnrpmpnt_
Sign re of Contractor - or - Owner Builder as applicable
I
STATE OF FLORIDA
j
COUNTY OF ��Lvt
Sworn to (or affirmed) and Subscribed before of
Physical Presence Online Notarization
me
or
this day of I J 20 2ZZby
Name of person making statement.
y
Personally KnownOR Produced Identification
Type of I itification Produced , 9tJoLJrJ `(-d
(Signature of Notary Pub i - State of Florida) 1-�
C' G
�5
SHIRLEY K. BEMENDERFER
'` �'� Commission # GG 949510
2024
Commission No. (Seal).
Exphs may 8,
'•'...... p mdW ThN Troy Farm irk u am T019
i
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FRONT
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