HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: -��-7_:ij SCANNED Permit Number: � 0 6. 0���
INN,
� O)t hide RECEIVED
Building Permit Application MAR 27 1018
Planning and Development Services
Building and Code Regulation Division Permitting Department
St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982 1
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 7903 James rd
Legal Description:
LAKEWOOD PARK -UNIT 3- BLK 17 LOT25 (MAP 1
Property Tax ID #: 1301-603-0025-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: R
Tear off existing shingle roof and install
on a 5/12 roof pitch 2800 sq. ft.
4N) (OR 609-2519; 3723-129)
Side
Left Side:
Lot No.
Block No.
roof FI 17022-R7 and peel and stick FIl� c3vtS —�
Aaaitional worK to be nej rtormeci under tnls permit cnecK all apply:
EIHVAC LJ Gas Tank ❑Gas Piping _ Shutters O Windows/Doors
11 Electric ❑_ Plumbing []Sprinkll rs Generator W1 Roof
Total Sq. Ft of Construction: �O \J S . Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer Septic Building Height:
��dWNE,R "ES CONTRACTOR
Name Mary J Clement Name: Richard A. Newland
Address: 7903 James rd Company: Richie the Roofer
City: Fort Pierce State: FIL Address: 905 13th st sw
Zip Code: 34951 Fax: City: Vero Beach State: FL
Phone No. ! & 721Y Zip Code: 32962 Fax: 866-610-8652
E-Mail: Phone No. 772-464-4329
Fill in fee simple Title Holder on next page ( if different E-Mail: richieroofer@yahoo.com
from the Owner listed above) State or County License: CGC 1512738
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
M
DESIGNER/ENGINEER:
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER
Name: RichardANewland
Address: 906 13th st sw
City: Vero Beach
Zip: 32962 Phone:.
772-473-6197
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
Phone:
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 i7odes 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, sceen 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.
Signature of Owner/ Lessee/Agent
STATE OF FLORIDA pp
COUNTY OF .P �vr� 4
The for instrunrignt was acknowledged before me
I his day of k%t 20 111by
s
e o Contractor/License Holder
STATE OF FLORIDA
COUNTY OF A
The forgoing instrument was acknowledged before me
this ay of 20 (P by
(Name of person acknowledging) j (Name of pe son acknowledging )
(Signature oJAotary Public- State of Florida )
Type of Ident----
o� EXPIRES- Octob 16rr''2021
Commission ." •• p•' NotaryPiiIkC�lHderwdtars
Revised 07/15/2014
(Sign re of Notary Public- State of Florida )
Pserfblly Kn
Type of Ident gE`t " . §(�TINAMARIERODRIGUES
•: ,:: COMMISSIO # GG 112040
Commission "rF P�EXPIRES:October�t �gg1
Notary Public Undenvrlters
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