HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI! I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED.
Date: Permit Number:
Building Permit Applicatid'n
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349S2 I I
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
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PERMIT APPLICATION FOR: Roof
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Address: 3609 avenue S Piercer FL,34983
-Legal Description: SUNLAND GARDENS BLK 6 LOTS 9 AND 10 AND W 1/2 OF VAC
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Property Tax ID #: 2405-601-0110-000-8
,Site Plan Name:
:Project Name: 3609 avenue S Piercer FL,34983
Setbacks Front Back: Right Side:
Left Side:' -
ONII (0.28 AC) (OR 2309-1947; 2383-1)
Lot No. 9 and 10
Block No. 6
Remove and replace the existing shingle system with an Architectural shingle system.
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di�Additional work to be performed un er this permit —check all apply: I
j IJHVAC Gas Tank ❑Gas Piping _ Shutters , Q Wiri'dows/Doors
0 Electric 0 Plumbing Sprinklers E Generator , Y . Roof 5�12 Roof pitch
lTotaiSq. Ft of Construction: S. Ft. of First Floor:
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Cost of Construction: $ 12,500.00 Utilities: 0 Sewer Septic I 'Building Height:
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Name 6,5
Name: O I n
Address: ( 0gAVeWe, S
Company: Andros construction LLC
!City: �� In��� Cz_ State: FL
Address: t!o
i Zip Code: 3483 Fax:
City: (p GSG� i , ' State: FL
Phone No.
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Zip Code: 34947 FaA:
E-Mail:
Phone No. 772.475„4915 j
Fill in fee simple Title Holder on next page ( if different
E-Mail: androsconstruction@gmail; com
from the Owner listed above)
State or County License: C=327225
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If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ;
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DESIGNER/ENGI ER:
Name: 1�
Address: 3809 avenue S Piercer FL,34983
City:
Zip: Phone
Not Applicable
State:
MORTGAG
Name:
Address:
City:
Zip:
O PANY:
Phone:
_mot Applicable
I State: NA
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FEE SIMPLE TITLE HOLDER:
Name: NA i
Address:
City:
Zip: Phone:
Not Applicable
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BONDING COMPANY:
Name: NA A kI,
Address:M I I _
City: 1'
Zip: Phone: I
I
I ; I Not Applicable
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to, do theiwork and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit. 11 I
St. Lucie County makes no representation that is granting a permit will authorize the permit holdqr. 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.
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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 anlother nbn-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result1h your paying twice for
jimprovements 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.
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Signature of ner/ Lessee/Contractor as Agent for Owner
Signa re of Contractor/License
Hol i r
STATE OF FLORIDA
STATE OF FLORIDA
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COUNTY OFSAINTLUCIE
COUNTY OFsAINTLUCIE
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The forgoing instrument was acknowledged before me
The forgoing Instrument was
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I cknowl'edged before me
this 14 day of MARCH 20_ by
this 14 day of MARCH
Ii 120_ by
LLOYD M,CONSTANT
LLOYD M,CONSTAW
11.
Name of person making statement
Name of person makfng
statement
Personally Known x OR Produced Identification
Personally Known x OR
Froduded Identification
Type of Identification
Type of Identification'
Produced NONE
Produced NONE
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" M. Garwood
nature offo '_i'coftw1od 22
(Signature o
MOD)
Expires: January 16Ary
Commission'... Aar'-
IExPires: January
Commissiah5, „ �7711 ed
Ilk 2022.
h'nl Aarrin N013(Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
.=SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
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COMPLETED
Rev. 8/2/17