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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR AF Date: I3�' 14 SCANNE I BY ")t Lucie Coui Building f Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 C TO BE ACCEPTED Permit Number:y�G I— O 0 1 i RECEIVED Application JAN 3 0 2018 ST. Lucie County, P@rmiming mmercial Residential x PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: Address: 6100 Buchanan Drive, Fort Pierce, FL 34982 1 Legal Description: INDIAN RIVER ESTATES-UNIT-02- BLKI11 LOTS 17, 18 AND 19 Property Tax ID #: 3402-603-0141-000-4 Site Plan Name: Project Name: Setbacks Front Back: Right I DETAILED DESCRIPTION OF WORK: Tear off the existing shingle and flat roof and CONSTRUCTION -INFORMATION: CIHVAC U Gas Tank E]Gas Piping Electric 0 Plumbing oSprinklers Total Sq. Ft of Construction: ,5�9 Cost of Construction:$ Lot No.17,18,19 Block No. 11 Left Side: it with same. 4 skylights are also being ,replaced. Shutters Q-Windows/Doors Generator z Roof '��/ Roof pitch S Ft. of First Floor: _ s:[] Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name D'zabeu' Brown Name: N/A Address•6100 Buchanan Dr Company: City: Fort Pierce State: FL 'Address: Zip Code: 34982 Fax: 'City State: Phone No.772 971-0943 Zip Code: Fax: E-Mail: brownliza@bellsouth.net Phone No. Fill in fee simple Title Holder on next page (if different E-Mail: from the Owner listed above) State or County License: it 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: H'¢abelhBmm I Name:N1A Address: 6100Buchanan-Drive.Fort Pierce, FL 34982 1 Address: 61oomchananDr City: FW R..e State: I City: State: Zip: Phone I Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: I Address: City: i City: Zip: Phone: Zip: Phone: I OWNER/ CONTRACTOR AFFIDVIT: Application is I certify that no work or installation has commenced pr St. Lucie County makes no representation that is grantir which is in conflict with any applicable Home Owners AK structure. Please consult with your Home Owners Assoc made to obtain a permit to do the work and installation as indicated. the issuance of a permit. rmit will authorize the permit holder to build the subject structure ion rules, bylaws or and covenants that may restrict or;prohibd such and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, Ildo 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 Commencementmay 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 commencine work or recordine vour Notice of Commencement - Signature of Owner/ Lessee/Contractor as Agent for Ow .'er Signature of Contractor/License Holder STATE OF FLORIDA - �5_71 STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this —day of 26A by this day of 20_ by Zw%e ­?5—©-�J Y1 Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced identification Type of Identification Type of Identification �od`uced �L �T'i �� �"5 /�%—�-� Produced (Signatur (Signature of Notary.Public-State of Florida ) Commission rlat�y L FAJ Notaq PubOb, SteilSkElgtlde Commission No. (Seal) Commiss1W FF 123596 My comm. expires July 18, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS EGETATION SEATU.RTLE MANGROVE COUNTER REVIEW REVIEW REVIE REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17