HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /h�
Date: SCAtiNE j Permit Number: ' 0 U ' �V� 9
BY
St LUCID Coaniy
Building Permit Application
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 xx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSEDIMPROVEMENT LOCATION:
Address: 340 TRAUB Ave
Legal Description: g e,
1S � LK, 1n �-o`f ' 1 ? tea. �✓� � �
Property Tax ID #: 310 3— S G 1— 0:z P-1— (O D 0— S Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION -OF WORK:
REROOF FLAT ROOF IN FRONT OF PROPERTY 24 FT X 14FT
installing MODIFIED BITUMEN FL 16027 BASE AND CAP
CONSTRUCTIONINFORMATION:
Additional work to be nertormed under this permit -check
[:IHVAC Gas Tank ❑Gas Piping
all
apply:
Shutters
Q Windows/Doors
_
Electric
Plumbing
[]Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 350 sq ft
1000
S Ft. of First Floor:
D
Cost of Construction: $
Utilities:
Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 6evel,6 1^. r-/ een 4 _
Name: RAY VILLANOVA
Address:340 TRAUErAve.
Company: VILLANOVA CONSTRUCTION INC.
City: Fort Pierce State: F�
Address: 2908 OLEANDER AVE.
Zip Code: 34982 Fax:
City. FORT PIERCE State:FL
Phone No.772 284 6332
Zip Code: 34982 Fax:
E-Mail:
Phone No. 772-940-6654
Fill in fee simple Title Holder on next page ( if different
E-Mail: rayvillan@aol.com
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORutu Notice oT Lommencemens is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
NEER: _ Not Appl
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
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 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.
6a;co S
SI nature of Owner/ Lessee/Agent Signature Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 5+ LVLCc �
STATE OF FLORIDA
COUNTY OF '5:+ Lw cie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I day of T�j 20 nby this __L day of , 20 hLby
V
(Name of per acknowledging)
'(<Syij�&ur4of Notary Public- State cWlorida )
Personally Known OR Produced Identification
Type of Identification -Prod ce
•�a,y� LASHAHNA INGRAM
Commission No. ���'" �''��y Notary(§t'AIl. - State of Florida
. My goo. Expires Dec 20, 2018
',� pttlNtlMtwlh National Notary A6511.
Revised 07/15/2
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(Name of person ackn Wedging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identificatio\
Type of Identification Produced
�� LAbi1AnNA IMGHAM
Commission No. •'o�"R `e`c', p&.Ohblic - State of Flor,n�
s
• •� MyCOrnm. Expires Dec 20, 201
_flnMMISRion # FF 177249
##WWd"ugh National Notary Ass
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