HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO 7ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0145 ^
Date: Permit Number: CAI
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Building Permit Application AUG 2 2 2017
Planning and Development Services
Building and Code Regulation Division PER; ,II'TIidG
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
,PROPOSED IMPROVEMENT LOCATION: w
Address: 5503 DELEON AVE, FORT PIERCE FL 34951
Legal Description: LAKEWOOD PARK UNIT 12 BLK 161 LOT 8 (MAP 13/12S) (OR3592-2613)
Property Tax ID #: 1301-614-0126-000-1 Lot No.8
Site Plan Name: PATIO REROOF FOR CAROL SCHULZ Block No. 161
Project Name: REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED,DESCRIPTION OF WORK:
REROOF PATIO FLAT ROOF ONLY
C:QNSTRUCTION INFORMATION:
rtiona wor to e e orme under this permit — check all
apply:
11HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
11 Electric Plumbing ❑Sprinklers Generator Ri Roof ® Roof pitch
Total Sq. Ft of Construction: OO S . Ft. of First Floor:
Cost of Construction: $ 2450 Utilities:cn Sewer Septic Building Height:
OWNER/LESSEE:. ;. , .`.
CONTRACTOR':
Name CAROL SCHULZ
Name: LEE DINENBERG
Company: FREEDOM ROOFERS
Address:5503 DELEON AVE
City: FORT PIERCE State: FL
Address: 5575 US HWY 1 SUITES 1 & 2
Zip Code: 34951 Fax:
City: VERO BEACH State: FL
Phone No.
Zip Code: 32967 Fax: 772-217-4459
E-Mail:
Phone No. 772-318-4600
Fill in fee simple Title Holder on next page (if different
E-Mail: greatroofs@freedomroofers.com
State or County License: CCC1330900
from the Owner listed above)
It value of construction is $Z500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION.LIEN LAW INFORMATION. p
DESIGNER/ENGINEER: 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 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 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 recording our Notice of Commencement.
P
Sig nae o caner/ Lessee/Contractor Agent for Owner
Sig of Contractor c ns er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF- INDIAN RIVER
CO U NTY O F INDIAN RIVER
The forgoing instrument was acknowledged before me
The forgoing instru t was acknowledged before me
AUGUST
this 18 day of AUGUST , 20il by
this 18 day of , 20/1by
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Type of Identification
Type of Identification
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FRONT ZONING
SUPERVISOR
PLANS
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MANGROVE
COUNTER REVIEW
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Rev. 8/2/17