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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICATION TO BE ACCEPTED, SCANN Urmit Number: BY, OAS Lucie CoWv - -- RECET�/ED Permit Application Planning and Development Services MAR 0 6 2018 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentla PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVE TENTLO°CATIO'N I Address: 6604 Santa Clara BLVD I Legal Description: LAKEWOOD PARK -UNIT 9- BILK 116 Property Tax ID #: 1301-611-0336-000-7 Site Plan Name: LAKEWOOD PARK Project Name: Van Lanen Setbacks Front Back: - ALL APPLICABLE INFO MUST BE COMPLETED Date: .-23 9 Buildi 9 (MAP 13101 N) (OR 3729-188) Right Side Left Side: DET 'JI EDP DESCRIPTION Of WORK: Remove existing shingle roof and replace with new, standing seam metal roof. Lot No.9 . Block No. 116 CO.NSTR-UCTFON! IN:FORMATIO'N!: Additional work to be nertormedd under tispermit—check a appy: OHVAC 0 Gas Tank ❑Gas Piping �E]Shutters_ Q Windows/Doors Electric 0 Plumbing OSprinklers E Generator R1 Roof © Roof pitch Total Sq. Ft of Construction: 2700 S . Ft. of First Floor: Cost of Construction: $ 19,140.00 Utilities. L �1Sewer 0Septic Building Height: 1 story I OWNER/LESSEE`-: , .CONTRACTOR: NameTom VanLanen Name' Rene Reyes Address:6604 santa clam blvd Company: MYFLORIDA ROOFING Address : 601 21st Suite 300 City: Fort Pierce State:FI Zip Code: Fax: Phone No. City: Vero Beach State: FL Zip Code: 32960 Fax: Phone No. 772 453 7219 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed bbove) E-Mail: as@myfiroofingcontractor.com State or County License: CCC132654h It value of construction is.52500 or more, a RECORDED Notice of Commencement is required. I! SUPPLEMENTAL CONSTRUCTION LIEN! LAW'', [WORMATIO'N: I DESIGNER/ENGINEER: _ Not Apilicable N a m e: Tom Vanl.anen Address:8004 Santa Clara BLVD City: Fort Pierce State Zip: Phone I' FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Ad d ress: 601 21st suite 300 City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Rene Reyes Address: 0804 Santa cara blvd City: Vero Beach State' Zip: Phone: BONDING COMPANY: Not Applicable Name:_ Address: City:_ 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 pjior 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 BuildlI ing Codes and St. Lucie County Amendments. The following building permit applications are exempt ft�om undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, sig Ins, 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, cons ith lender or an attorney before commeAcinR wo k or reeofd—in-allour Notice of CommencemeDt'l' f I .`1 Signature w e ntra r s Agent for Owner Signature of Contractor/Lic nse Hold STATE F FLORIDA I ' , COUNT)OF C I STATE F FLORIDA OF (k; l—U COUNTY Ir,A � c`, r, yE' r The fo oing instrument was cknowledgAbefore me The forgoing instrument was acknowledged before me this day of 20 by this day of Fe�j�-s)�, F�= 201A by e_ R�u� Name of person making statement I Name of person ma ng statement Personally Known OR Produced Identification Personally Known >4 OR Produced Identification Type of IdentificqJjQp, Type of Identification Produced Produced (Signature of NkQt vP.b ' I (Signature o Notary lic- te, YP ,,:o,, KAREN S. NI'LSEN Commission NJ _ __ Commission S�Fa1�15637 - Expires _* �: Commission No. GGk \2I2 'al) 01Rf11 ��'� %. 1l �une4 - y ammission o ? June 122018 ,� �A q� • �� B11 r ���nuu++` LRIn thN Ae..._ mina` 'rW+71� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW I REVI REVIEW REVIEW REVIEW DATE RECEIVED I DATE /f COMPLETED!Z $ Rev. 8/2/17