HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONj
t
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr1�
Date: 9-14-2017 Permit Number: �/ - D 09
t/ NAMED
By
Building Permit Application
Planning and Development Services
Building and Code Regulation Division JAN 2' 3 2018
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
PRO -POSED IMPROVEMENT LOCATION:.
Address: 8106 Kenwood Rd. Ft. Pierce FI.34951
Legal Description: Lakewood Park - Unit 5 Blk 54 lot 13 (map 13/02S (OR 1954-238: 3585-2333; 3707-2922 )
Property Tax ID #: 'r\ I 'COI —(g2Qb
Site Plan Name:
Project Name:
Lot No.
Block No.
Setbacks Front Back: 1 7
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.
I
Tear off existing shingle roof and install Metal FL17022-R7 4- :1:h54ekk Peel 4- S4«K
1700F 'PITC-4 131l,z a BG F4-.
CONSTRUCTION INFORMATION'
L
Adclitional work to be nertormed
E1HVAC Gas Tank
under this permit— check
❑Gas Piping
all
that apply:
Q Windows/Doors
_Shutters
11 Electric 0 Plumbing
Sprinklers
L_I Generator
Roof
Total Sq. Ft of Construction:
sq ft I
S . Ft. of First Floor:
Cost of Construction: $ 11,600.00
I Utilities:01
i
Sewer aSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Licia Peterman
Name: Richard A. Newland
Address: 8106 Kenwood Rd. I
Company: Richie the Roofer
City: Fort Pierce State: FL
Address: 905 13th st sw
Zip Code: 34951 Fax:
City: Vero Beach State: FL
\
Phone No. �� a . , ' V
Zip Code: 32962 Fax: 866-610-8652
E-Mail:
Phone No. 772-464-4329
Fill in fee simple Title Holder on next page ( if different
E-Mail: richieroofer@yahoo.com
from the Owner listed above) I
State or County License: 20506
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i
r �
__T
SUPPLEMENTAL CONSTR�UCTIONLIEN,Li4W INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address: I
Address:
City: I State:
City: State:
Zip: Phone: I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: RlchardANewland
Name:
Address: 905 13th st sw I
Address:
City: Vero Beach I
City:
Zip: 32962 Phone: 772-473-6197 I
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 Florlida Building Codes and St. Lucie County Amendments.
The following building permit applications are ekempt 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 intendlto obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
STATE OF FLORIDA
COUNTY OF fir -,
The forgoing instrument was acknowledged before me
this _2a day of id rft W., T 20 ]Lby,
(Name of person ackn
C.Drr� 11/1 s
(Signature of Notary I
Personally Known
Type of Id
Commissi ze�-
:ing )
re of Contractor
STATE OF FLORIDA
COUNTY OF-EA(AICrt H Q i'y-fir
The forgoing instrument was acknowledged before me
this 23 day of 10 PvK-e, ►a 20 8 by
(Name of person acknowledging)
(Signature of Notary Publi - tate of Florida )
Personally Known OR Produced Identification
Type of Identification Produces- - - - - - -
MYCOMMISSION#GG(152OgO Commission No.
--E�FWRES: Actober 18, i�r
Bonded Thru Notary Public Undem t fs
Revised 07/15/2014
CHRISTINA MARIE RODRIGUES
h( 04MISSION # GG 152040
EXPIRES: October 16, 2021
Braided Tivu Notery Public und�nti�:r
REVIEWS
FRONT
ZONING
I
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV E)AI
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS