HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: - 10 SCANNED Permit Number: JU ()3• 07��
n nnII LDI RMENED
Building Permit Application MAR 27 1018
Planning and Development Services PerinDepartment
St.. Lucucle County
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: To Seleclt from dropbox, click arrow at the end of line
„PROP.QSED, IMPROVEMENT LOCATIQN,,
Address: 8408 Deland Ave I
Legal Description: I
LAKEWOOD PARK -UNIT 6- BLK 57 LOT1 (MAP 13/02S) (OR 1227-877)
Property Tax ID #: 1301-606-0001-000-4 I Lot No.
Site Plan Name: I Block No.
Project Name: I
Setbacks Front Back: Rieht Side: Left Side:
DETAILED DESCRIPTION OFaWORK
Tear off existing shingle roof and install me�ta'I roof FI 17022-R7 and peel and stick FI J�
on a 5/12 roof pitch 300 sq. ft.
Z$o�
CONSTRUCTION INFORMATION
Additional
or to e e Gas Tank un er t is Ga Pi �
❑ permit— check a apply:
ping _ Shutters ln] Windows/Doors
Electric 0 Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction:: 24M S . Ft. of First Floor:
fCost of Construction: $ Gj ? qq Utilities: Sewer Septic Building Height:
01NNER/LESS'E
C,4NTRACTUR
Name John Ehlert
Name: Richard A. Newland
Address: 8408 Deland Ave
Company: Richie the Roofer
City: port st. lucie State: FL ';
Zip Code: 34953 Fax:
Phone No. 772-216-5475
Address: 905 13th st sw
City: Vero Beach State: FL
Zip Code: 32962 Fax: 866-610-8652
Phone No. 772-464-4329
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: richieroofer@yahoo.com
State or County License: CGC 1512738
it value or construction is :�cbuu or more, a KECUKDED Notice OTC Commencement is required.
i
DESIGNER/ENGINEER: _ Not
Name:
Address:
City: I State:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: RlchardANewland Name:
Address: 905 13u, st aw Address:
City: Vero Beach I City:
Zip: 32962 Phone: 772-473-6197 I Zip: Phone:
I
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 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 applications are elempt 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.
s
re of Owner/ Lessee/Agent Sign ofContractor/License Hol er
STATE OF FLORWA // �J STATE OF FLORIDA
COUNTY OF �L/�� COUNTY OF
The for oin instrument was acknowledged before me The forQoingjastrument was acknowledged before me
this ay of 20 eby this l ay of 20 by
1 �
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida) x
'Pofsorratl nown OR Produced Identification
Type of Identification Produced
Commission4�rvy•• CyRISTINAMARIER081iIPUES
MY COMMISSION # GG 152040
Bonded Thor Notary Public underwrltei
Revised
(Signature of Notary Public- State of Florida )
P y Known OR Produced Identification
Type o ion Produced
Commission
MY COMMISSION # GG 152040
Bonded Thru Notary Public Underwd!r;• % c
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