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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPI fCABLE INFO MUS-I BE COMPLETE© FQfd APPLICATIOIU T C3 I3r ACCCP T ED Date: ,3/2/1.8• ,. - Permit NUmben . 1 J d f0 SCANNED RECEIVED Ely ----------- --- --- Mal: o s zoos f r s lPO ." a�/APPIle-ation ?ldnnlnq and Developinent3etvlces I Permitting Department St. Lucie County Bullding oiid Cade Regulation Dlvlslon i 23do WtglnlaA,venue, Fort Plerce-FL 34982 I Phone:,(772. ),462405 Fax: (772) 4624578 Commercial Residential X PERMIT APPLICATION FOR: To Select froin dron box, click,arrow at the end of line �+r vim. w�...,.csY,•'p". rq4'�*'+ EMEWOUI �Ci4,7i14N— _ _l� t _ _ r_.� z •_ Address': 276NE,Mairisail:Street, Port St. LUbie,,Fh Legal Description: Riyer'Park Unif 9-PaekiG.BLK 80 Lot 3 (Map 34ais) (or2121-1353) Property Tax ID•#1: 3419-570-0077-00077 Lot No. 3 Site Plan Name' Block No. 8D Project Name: Hooper I 5etbacics Miltt3acic: I R!ght S14q; . Left Side, DETAD DESCRIPyiTIiDN OF'W.ORK t a i,�! $,5 �iy�'fii7.� �Q �L�IC�X`••.? 7fig`}+rs .`a.xY..�r"L'}. J.'$�",�. �e w_L �i_,i! .•°Y1Ve.>! _ _i... �. REMYOF (Remove existing underlayment and Shingles. Replacp.shingles and underiayment on . Manslkrd Roof (12112' 'R'h) Remove and replace rolled roofing.on flat roof: Connecting Mansford Roof with Flat oof by a modified bituminous membrane. yy�1,K.� 1�� �r •� SiY �; � i4 are �` ° _��Wj `Ct@N RI QN INF,©RNIArT�'ON � :•' , r...�,R.,fia i.�..+�-stly Lixta .a�a,. ii»a.,(� .,. � ..:►� ih 1�. 51.:«-�...+.t -A. it-ona-wor<to he e orme `un ert.. sperm tichecka appy:. I_IH1/AC LJ (?as Tank Gas Piping _Shutters r� Windows/Doors Electric � P[Umbing �Sprinlders Generator hoof � Roof pitch Total Sq"Ft of Construction: S . Ft.. of Flrst.Fnnloor: Cost of Construc l6i : $ 10,000.00 I Uttfltiencff /er 1. d tic BuilOing:Neight.: • v" 'V'-' ---�— ^—q '�e�' fv�c -r-a I 1 •e-�...—. ,• {��q 4, _ 1 c+�r.�Is�� i . ®1NWI�iER/ S -Er l { . �. �(coNTRACTs®R� '� { a�rl�6kti MEAL Name Name: BrentMaritn Ad. dress:• Coinpany::ONE,CALL.Pl OPERTY•$ERVIQES' City; State:• FL Atldress; 78gd.SWELLIPSE,WAY 41p Code: Fax: City: Stuart State: FL Phone Zip Code; No, ,348,97 Fax: E=lVlail: Phone IUo. 772-223-8400 Fill f i fee#hpleTitle ijoldei' dn.neict;page (`if different E=-Mgjl; ftom,the•OvjiierBsted above) State or County License: If value of construction 19 $2500 or more, a RECORDED`Notice of ComtnencementJsregiitred,' 77 N..-.91'..i .. � ,.. _. J. -'-f .."tr.:.. b.... •M is ;'.l.. t,: -. .. i .. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION. ` DESIGNER/ENGINEER: - Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: I Zip: Phone I Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: 7804 SW ELLIPSE WAY I Address: City: I City: Zip: Phone: I 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 mayapply. i 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 Build�ng 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,.sig is, 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 1commencement.. I Signature of Owner/ Lessee/Contractor as Agent for Owner Signat re o ntractor/License Holder STATE OF FLORIDt I STATE OF FLORIDA+ M COUNTY OF 1`-�lt�r V1Y-\ COUNTY OF The forgoing instru t was acknowledged before le The forggping instru ent was acknowledged before me this � day of row 20 �� by thisay of ; U t) }' 20 by Q f _ !t A Name of per n making statement Personally Known OR Produced Identification Name of person making statement Personally Known � OR Produced Identification Type of Identification Type of Identification Produced va Produced d (Signature of No (Signature o Notary Pu ic- Sta of �0 eda �otary Public State of Flot .EF+'ye, Notary Public State of Florida �t ` `: Veronica C Arteaga GG o572 7 Commission No. : Veronica C ada ommission GG 05�227 Commission No.�S� ommisslon y�ff 4�0 Expires 12/21J2020 y ' rx •4p Expires 12/21/2020 REVIEWS FRONT ZONING SUPERVISOR PLA VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVI REVIEW REVIEW REVIEW DATE RECEIVED DATET 77� COMPLETED IZ Rev. 8/2/17