HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE Ca,..&LETED FOR APPLICATION TO BE ACCEPTE'u l I Q j�
Date: , A NED Permit Number: / d n
— Building Permit Application MAR,1,5?qN8
Permitting DqR t
Planning and Development Services St. Lucle r
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 8268 SANDPINE CIRCLE PORT
SAINT LUCIE FL 34953
Legal Description: LAKE LUCIE ESTATES
1
PLAT NO. ONE LOT 25 (OR 3328-213)
Property Tax ID #: 8268 SANDPINE Cl
Site Plan Name: MEJIA
Project Name: MEJIA
Setbacks Front X Back:
LE PORT SAINT LUCIE FL 34953
I' DETAILED DESCRIPTION OF WORK:
Right Side: X Left Side: X
Lot No.25
Block No.
REMOVE SHINGLE ROOF AND REPLACE ROOF COVERAGE WITH 1" NAIL STRIP METAL
INSTALL TRI BUILT UNDELAYMENT / PEEL AND STICK
REMOVE AND REPLACE (2) SKYLIGHTS
CONSTRUCTION INFORMATION:
Additional work to je ne orme un
11HVAC L Gas Tank
er t Is permit— c ec a
[]Gas Piping
apply:
Shutters a Windows/Doors
_I
_
11 Electric Q Plumbing
E] Sprinklers
ElGenerator R1 Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 2386
S
Ft. of First Floor: 2386
Cost of Construction: $ 22,000
Utilities:
L I Sewer[] Septic Building Height: 8,
OWNER/LESSEE:
t
CONTRACTOR:
Name FERNANDO RAUL MEJIA SANCHEZ
Name: MAURICIO ORELLANA
Address: 8268 SANDPINE CIRCLE
City: PORT SAINT LUCIE
Company: ONE CONSTRUCTION 8 ROOFING CONTRACTORS
Address: 2766 SW EDGARCE ST
City: PORT SAINT LUCIE State: FL
Zip Code: 34953 Fax: N/A
Phone No. 772-240-9497
E-Mail: ONECONSTRUCTIONSERVICES@YAHOO.COM
State: FL
Zip Code: 34953 Fax: N/A
Phone No.772-345-9888
E-Mail..N/A
Fill-in fee simple Title Holder on next page
from the Owner listed above)
( if different
State or County License: CCC-1330623
If value of construction is $2500 or more, 6 RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUuTT N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: FERNANDO RAUL MEJIA SANCHEZ I
Add ress:8268 SANDPINE CIRCLE PORT SAINT IE FL 34953
City: PORT SAINT LUCIE ! State:
Zip: Phon
MORTGAGE COMPANY: X Not Applicable
Name: MAURICIO ORELLANA
Address: 8268 SANDPINE CIRCLE
City: PORT SAINT LUCIE State:
Zip: Phone:
FEE SIMPLE TIT OLDER:
Name:
Address 66SWEDGARCEST
city:
Zi Phone:
I
Not Applicable
BONDING CO NY: Not Applicable
Name:
Addr
C
ip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 Homel 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 application' are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, feces, 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 vour Notice of Commencement.
11MIXF/ KIM
Signature of Owner/ Lessee/Contractot as Agent for Owner
STATE OF FLORIDA
COUNTY OF-,u=,E
The forgoing instrument was acknowledged before me
this 1 S� day of M j 10OA by
Name of person m,aking statement
Personally Knowny OR Produced Identification _
Type of Identification
D. A... A
PAULETTE BLA
Notary Public -
(SignatiTre of Notary PuQblic- State o ,,�oc My Comm•
Commission No.9
REVIEWS I FRONT
COUNTER
DATE
RECEIVED
COMPLETED
Rev. 8/2/17
mol��q a
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ... —
The for g instru`rnent was acknowledge efore me
this l5� day of 20AS by
Name of person making statement
Personally Known v, 'OR Produced Identification
Type of Identification
Produced- __ _
of Florida
Notary Public- State of Florida
10. ` ` (Seal)
ING
IEW S UPERVISREVIEWOR I REVIEW PLANS I VEGETATIEV EWON I SEATURTEV EWLE I MREV EWVE