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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION} -* ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a`�11 \14 SCANNEDPermit Number:o w BY RECEIVED a Lucie Building Permit Application FEB 2 7 2090 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Rool - 1*'4 P;ROP'OSEdIMF'RE�JEMNC CC?'C�AaTIQN`$ 3 Address: 317 Olive AVE Port St Lucie , FL 34952 Legal Description: RIVER PARK -UNIT 2- Property Tax ID #: 3419-510-0092-000-2 12 LOT 20(MAP 34/22N) (OR 3835-1940) Site Plan Name: Project Name: Repairs - Reroof flat roof only Setbacks Front Back: Right Side Left Side: Lot No. 20 Block No. 12 Remove existing roof material to deck; renail to code. Install new modified bitumen flat roof. Additional work to be ertormed E] under this permit — check all apply: 11HVAC Gas Tank Gas Piping _ Shutters Electric ❑ PlumbingSprinklers ❑ Generator Total Sq. Ft of Construction: a0� Cost of Construction: $ 3250.00 S Ft. of First Floor: _ Utilities: Sewer Septic ❑ Windows/Doors W1Roof Roof pitch Building Height: f'g? Name David W Dowling Address: 317, Olive AVE Name: Douglas E Roe Company: Code Red Roofers Inc Address: 3341 SE Slater St City: Port St Lucie State: FL Zip Code: 34952 Fax: Phone No. 772-370-9784 City: Stuart State. FL Zip Code: 34997 Fax: 772-287-7763 Phone No. 772-287-2829 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: becky@coderedroofers.com State or County License: CCC1326574 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUP'FLE�tIENTAI. C>~JNSTRUCTINl1NLA1i111NFQRMATIQ;N D. u, n. . r a. a DESIGNER/ENGINEER: Name: David W Dowling _ Not Applicable MORTGAGE COMPANY: Name: Douglas E Roe _ Not Applicable Address: 317 Olive AVE Port St Lucie, FL 34952 Address: 317 Olive AVE City: Stuart Zip: Phone: State: City: PortSt Lucie State: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: 3341 SE Slater St Address: City: City: Zip: Phone: i 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 of Owner/ Less ee/Contrac or as Agent for Owner Signat re of Contra or/License Holder STATE OF FL ORI r1 STATE OF FLORID ,,,, "���1.,,. COUNTY OF /� COUNTY( (,c rf [ n The fgr;oing instruniw was acknowledged before me The forgoing instrument w s acknowledged Wore me this day of Q 20 P& by thi ay of —� 20,C6 by i 1t S Name of person ;a ift statement a e of person making statement Personally Known OR roduced Identification Personally nown �C OR Produced Identification Type of Identification Type of Identification Produced L Produced (Signatu)a of Notary Public- Stat o FI Ida } (Signature Notary Public- State of FIbri "I Commission No.. (Seal) Commission No.66 (' 1M (Seal) YP REVIEWS YPU FRON ECCA Z6�%WisSi ESTIFO I,S IM R PLANS ? VEGETATIO 'm P A BECC P ISSI RESTIF'0 Ii�19��PQ$ E COUN EVpWES: aY IRE REVI REVIEW FF� R S: M y 1 DATE RECEIVED DATE COMPLETED 6 I gI _J tev.8/2/17