HomeMy WebLinkAboutBuilding Permit ApplicationJr:
ALL APPLICABLE FiO�MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: - Y. /? • Permit Number:
Building Permit Application AUG / 4 2017
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- LOCATION: .
Address: 5718 PALMETTO DRIVE FT. PIERCE FLORIDA 34982
Legal Description: Indian River Estates -Unit 06-131k 20 Lots 13 & N 33 ft Lot 14
Property Tax ID #: 3402-607-0166-000-7
Site Plan Name:
Project Name: Indian River Estates
Setbacks Front Back:
Right Side
Left Side:
Lot No.13 & 14
Block No. 20
DETAILED DESCRIPTION OF WORK:
I `pt cor- iy�/Er� ,2$.tiq%L ��c Tw�� ..e 7�//, EL ySFAL U✓ds/air L9y.®A�y 7 f � tL/d�di'.".see S .
CONSTRUCTION INFORMATION:
Acid itiona I work to be nertormed under this permit— check a apply:
JHVAC _ Gas Tank ❑Gas Piping _ Shutters a Windows/Doors 4;%/ �1_
L
� , Liectric El Plumbing Sprinklers O Generator R1 Roof Roof pitch
Total Sq. Ft of Construction: 3cr� S . Ft. of First Floor: 7
s
Cost of Construction: $ Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: .
Name STEPHEN H: DEHNEN
Name: STEVE FRONTERA
Company: STEVE FRONTERA ROOFING,INC.
Address:5718 PALMETTO DR.
City: FT•PIERCE State: FL
Address: P•O.BOX 9661
Zip Code: 34982 Fax:
City: PORT ST. LUCIE State: FLA
Phone No.772-429-1557
Zip Code: 34985 Fax: 772-336-8568
E-Mail:
Phone No. 772-336-3880
Fill in fee simple Title Holder on next page (if different
E-Mail: STEVEYRONTERA@ ATTMET
State or County License: CCC-1326920
from the Owner listed above)
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
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;SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 Commenc y result in your paying twice for
improvements to your property. A Notice of Commencement st be rec rded and posted on the jobsite
before t irst i intend to obtain financing, c4 suit w' i er or an a ey before
com nci ork or recordine you otce of Commencement. A
s
Signatur o r Lessee/Contract as nt for Owner Signature o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF M Afu—n ti COUNTY OF M A 14
The forgoing instrument was acknowledged before me
this _ day of A L1 Lu 20 Eby
�e uc, FTD0+Cf-V—
(Name of person acknowledging)
(Signat#e of Notary Pub ic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. _ FF 9 'lS % ?3 (Seal)
The forgoing instrument was acknowledged before me
this 5 day of A U u.4 20 (�_ by
s{-e FyDn
(Name of person acknowledging)
(Signature of Notary Public- State of Florida ) /
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.- a`tcq 83
Public State of Floddn
'' Cannela Frantantonf My Commission FF 978783
Revised 07/ 15/2014 / My Commission FF 97s783 bra �' Expires otinai2o2o
or r► Expires 05!29!2020
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