HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �-Z� ' � $ I Permit Number:
Ely
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Sttudecoup L____k_E-CE1VE:D
Building Permit Application
Planning and Development Services I Building and Code Regulation Division2300 Virginia Avenue, Fort Pierce FL 34982 tting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PROPOSEDIMPROVEMENTLOCATION:
Address: 5310 Hickory Dr. Ft. Pierce FL 34
Legal Description:
INDIAN RIVER ESTATES -UNIT 07- BLK
Property Tax I D #: 3402-608-0461-000-8
I
Site Plan Name: 5310 Hickory Dr. Ft. Pierce FL 3
I
Project Name: SHINGLE TO SHINGLE & FLAT I
Setbacks Front Back: I
LOT 21 (MAP 34/02S) (OR 1930-1073)
Side: Left Side:
Lot No. 21
Block No. 52
DETAILED DESCRIPTION OF WORK `, F G V
RE ROOF SHINGLE TO SHINGLE & FLAT ROO
i
CONSTRUCTION INFORMATION:
Additional work to be nertormed under tIsperrnit—c check a apply:
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❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑Windows/Doors
❑Electric ❑Plumbing ❑ Spri I klers ❑ Generator Roof 4'12 Roof pitch
31.2 SQ
Total Sq. Ft of Construction: I S Ft. of First Floor: _
Cost of Construction: $ 14,500 Ii Utilities: _ Sewer ❑ Septic
Building Height:
OWNER/LESSEE'-
CONTRACTOR
Name Trent M Calender
Name: Javier Solis
Address: 5310 HICKORY DR I
Company: SOLIS ROOFING CONTRACTORS INC.
FT. PIERCE StateIFL
Address: 1033 SW Dalton Ave
Zip Code: 34982 Fax:
City: Port St. Lucie State: FL
Phone No.
Zip Code: 34953 Fax: 772-878-4097
E-Mail: 1
Phone No. 561-662-6622
E-Mail: SOLISROOFINGINC@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
State or County License: CCC1330147
from the Owner listed above) I
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEWLAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: I Address:
City: Stater City: State:
Zip: Phone I Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable I BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Applicatio��jj' is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commencedlprior 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 iuilding 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 vour Notice of Commencement.
Slgnatu� Owner/ Lessee/Contractor as Agent for Owner
Signature C tractor/License Holder
STATE OF FLO II '.
STATE OF FLOi� '
Ltd
COUNTY OF 1.(J��
COUNTY OF T!-
The forgoing instrumf�n� was a knowledged before me
this day of l�r 20 1 by
The forgoing instrument was acknowledg d before me
this ZZday of 20A by
�, 6aLVL
_�CC-k
toz, �r
Name of pe on making statement I
Name of pers making statement
Personally Knowrt� OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
rod
Produced
(Signature of Notary Public- Stat f Florida) I
(Signature of Notary Public- State of Flokb)
MAJANO
atPaY. IA MAJANO&j
Commission No. ti. ,
�" '"
r MY SSAN # FF 181432
EXPIRES: April 4, 2019
j+y MARIA
Commission No. ��MMISSION # FF 181432
EXPIRES: April 4, 2019
@2tl M ihru Budget Notary Services
Bonded *u Budget Notary Servkel
6��F®�`d
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17