HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI 1.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: T'].: 1CA - Permit Number: 112; 0 �I:VQO
Building Permit Application DEC 16 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
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: 5727 Sunberry Cir. Ft. Pierce FL 34951
Legal Description: PORTOFINO SHORES -PHASE TWO- (PB 43-33) LOT 438 (OR 3913-633)
Property Tax ID #: 1312-502-0188-000-3
Site Plan Name: 5727 Sunberry CIR
Project Name: RE ROOF TILE TO TILE
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
RE ROOF TILE TO TILE
Right Side:
Left Side:
Lot No. 438
Block No.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit — check a apply:
IIHVAC El Gas Tank �Gas..Piping _ Shutters ❑ Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof I Roof pitch
Total Sq. Ft of Construction: C - S . Ft. of First Floor:
Cost of Construction: $ 20,200.00 Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Lori J Eck
Name: Javier Solis
Address: 5727 Sunberry. Cir
Company: SOLIS ROOFING CONTRACTORS INC.
City: Fort Pierce State:FL
Address: 1033 SW Dalton Ave
Zip Code: 34951 Fax:
City: Port St. Lucie State: FL
Phone No.
Zip Code: 34953 Fax: 772-878-4097
E-Mail: lorijeck@gmail.com
Phone No. 561-662-6622
Fill in fee simple Title Holder on next page ( if different
E-Mail: SOLISROOFINGINC@GMAIL.COM
from the Owner listed above)
State or County License: CCC1330147
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: x_ Not Applicable
Name: Lod JEck
Name:
Address: 5727 Sunberry Cir. Ft. Pierce FI
Ad d ress: 5727 Sunberry Cir
City: Ft. Pierce 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 your Notice of Commencement.
Signature Owner/ Lessee/Contractor as Agent for Owner
Signa ure of Contractor/License Holder �-
STATE OF FLORIDA -
STATE OF FLORIDA
COUNTY OF a7Q /h� .C�c.�-t-
COUNTY OFThe
for ing instru ent was cknowledged before me
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The for�ioing instru nt was acknowledged before me
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this day of , 20JJ by
this day of 20 % by
3a u L.r ,s
Name of person king statement
Name of person aking statement
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary u lic- State of Florida)
(Signature of Notary Pu li - State of Florida )
:a'P;B�% MARIAMAJANO""YP�'B
Commission No. S94bMMISSION # FF 181432
*11'.
IAMAJANO
Commission No. * MI MIOUFF181432
EXPIRES: April 4, 2019
EXPIRES: April 4, 2019
'P." Bonded Thru Budget Notary Services
Nj7lpeF \Oe Bonded Thru Budget Notary Services
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev.8/2/17