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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I _� Q - (0 M WWI A EC «, VED Building Permit Application Planning and Development Services DEC 12 2017 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 PERNii- TI,�'1G Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial . Residentl4l �ci_ e Coin, FL PERMIT APPLICATION FOR: Roof E PROPOSED IMPROVEMENT LOCATION: Address: 6101 Sunset Blvd, Fort Pierce, FL 34982 Legal Description: INDIAN RIVER ESTATES-UNIT-08- BILK 70 LOT 32 (MAP 34/11S) (OR 1048-1010) Property Tax ID #: 3402-609-0674-000-7 Site Plan Name: Project Name: Setbacks Front Back:_ DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No.32 Block No. 70 REMOVE EXISTING SHINGLE ROOF SYSTEM AND INSTALL NEW METAL ROOF SYSTEM. ROOF PITCH 4/12 SLOPE CONSTRUCTION INFORMATION: Additional work to e e orme under this permit— check a apply: 11HVAC ID Gas Tank Gas Piping _ Shutters E]Windows/Doors 11 Electric 0 Plumbing [] Sprinklers Generator Z Roof /12 Roof pitch Total Sq. Ft of Construction: 2000 S Ft. of First Floor: Cost of Construction: $ 7960 UtilitiesSewer 0 Septic Building Height: 12 FT OWNER/LESSEE: CONTRACTOR: Name DEBRA FASNACHT Name: RICARDO LARA Address:6101 Sunset Blvd, Fort Pierce, FL 34982 Company: ELITE ROOFING SOLUTIONS, INC City: FORT PIERCE State:FL Zip Code: 34982 Fax: Phone No. E-Mail: Address: 812 SE LINCOLN AVE City: STUART State:FL Zip Code: 34994 Fax: Phone No. 772-643-7663 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: ERS.PERMITS@GMAIL.COM State or County License: CCC1330337 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 ith lender or an attorney before commencine work or recordine vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner ,Signature o ontractor/License Holder ,1 STATE OF FLORIDA STATE OF FLO I A COUNTY OF COUNTYOF In The forgoing instrument was acknowledged before me The for ling instrument wasacknowledgedbefore me day �!/ 20_q by this day of 20_ by this ofG>(ii%1 !� . :JZe_WJ, IA" Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known _5 OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) ,.kp Theresa Anne Commission No. (Seal) CommissiogpRYA°� NOTARY PUBLIC (Seal)Seal c c STATE OF FLORIDA Comm# GG126275 b? REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 =44. U ��r l-4'v� -s rep ^-" �x Ate^`" n"xv. �,. cSgcF ' ?k°�ws d� a• yc �N / - ., - - ON LIEN LAW IRicnonnd-ricnni-.:.-.- :�SUPPLEMENTAU�CONST'R CT� :DESIGNER/ENGINEER Not Applicable`: 1:. _ Address: City: State•, Zip: Phone FEE'SIMPLE TITLE. HOLDER: _, Not.Applicable Name:' . Address: City: Zip: Phone: AGE COMPANY Not Applicable = City: —State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zip:, Phone: OWNER[CONTRACTOR AFFIDVIT: Application is'herebymadeto obtain a permit:todo the work;and installation as indicated. I certify that no work or'installation has commenced prior to the issuance of a permit. c*. i if in nn Verirncantatinn-fff;wic-owantirio a nerrnitwill.authoriie the,oermit holder to. build ;the subiect-structure.-. .._ ... .. ` __ structure. Please'consuitw th your Horne 0wners'Association'an review.your ee orany'restn ions w ie may apply. in consideration of the granting ofthis requested permlt; I do hereby agree that i Will, fn all reSpects;-perform the work in accordance with theapproved',plans, the Florida Building Codes and:St: Lucie County"Amendments The following°buildiing perrriitapplications:a're'ezempt?from undergoing.a full concurrency review: room additions, accessory structures, swimming°pools,,. fences; walls, signs, screen rooms and,accessory uses to another non-residentiaLuse WARNING'TO OWNER: Your failure to Record a Notice of`Commencernent may result In -yourpaying tyirice'for improverrlents to your property. A Notice of Commencement must: be recorded and posted. on the jobs.Ite before the first�ection If you intend. to obtain financing, consult. ith lender or an attorney before: - 1.../L -..�riii.n �inl l� Al nfiin of Tnmmonrdl'n ont. / / Si tare,of Owner/Lessee/Contractor.as Agent for•Owner •,Signature oft. ontractor/License Holder ,J STATE OF FLORIDA. /�'1 -It- n STATE OF FLOj�I�A " COUNTY OF,tif Ff'fClh NN COUNTY OF I The fo goinginstr entwas acknowledged.before me a The forgoIng.instrument.was acknowledged before. me day Iecy �Yi'b-�!/' 20, by this day of 26 7P by this an of . Name of,person making statement Name of person making statement Personally Knownn_ OR:Produced Identification Personally Known. 54 OR Produced _identification Type of Identification Type of Identification. Produced Produced u Si nature of'Nota Public (g T§bA9PAfihvi3WPPo vq (Signature of Nota"ry Public- State of Florida' ) Y Theresa Anne.Fasano. t NOTARY PUBLIC Commission. N®Q OF Pl.� t commissio °c� NOTARY PUBLIC (Seal) o? - 3 =C0mm#"GG126275 ESTATE OF FLORIDA Comm# GG126275' CAM�0 7i.19/2021. REVIEWS' FRONT ZONING SUPERVISOR' PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW :DATE .'RECEIVED. DATE COMPLETED Rev. 8/2/17