HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. SCANNED Permit Number: r? 0
RECEIVED
�3t brie Man
Building Pe'mit Application
Planning and Development Services pamitfing Department
Building and Code Regulation Division St. Lucie. CA=ty
2300 Virginia Avenue, Fort Pierce FL 34982
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 8101 Kenwood Rd Fort Pierce, FL 34951
Legal Description:
Property Tax lD#: 1301-605-0309-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Tear off existing shingle roof and install metal ro6f �L'�170 and peel and stick FI 0 qd,- ki
- Fk 7'8-4Y
�Acicljtional worFT-6-156--iniertormed under this check
all
apply:
M
E
E1HVAC
E]Gas
Tank
E]Gas Piping
Shutters
Windows/Doors
[I
Electric
El
Plumbing
OSprinklers
E]�Generator
W1
Roof
Total Sq. FtofConstruction:
Cost of Construction: $ lzl�e4
Building Height:
Name: �ichard A. Newland
Address: 1 05 13th st sw
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 7?
City: Vero*ach State: FL
Zip Code: 32962
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail: ric�ileroofer@yahoo.com
State or Cou nty License: CGC 1512738
It value ot construction is 52500 or more, a RECORDED Notice of CommencemenI: is required.
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FEE SIMPLE TITLE HOLDER: _ Not Applicable
N a m e: Richard A Newland
Address: 90513thstsw
City: Vero Beach
Zip: 32962 Phone: 772-473-6197
BONDING COMPANY:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Not Applicable
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 a d St. Lucie County Amendments.
The following building permit applications are exempt from undergoi g 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.
_ Signature of Owner/ Lessee/Agent
re of Contracto
STATE OF FLORIDA STATE OF FLORA
COUNTY OF "t:j ���ll�c� COUNTY OF^
The forgoing instrument was acknowledged before me The foirgoing instrument wa��s acknowledged before me
this � of �G �:•/�, 20 &by this day of� `71��G� 20 a by
(Name of person acknowledging) (Name bf person acknowledging )
(Signature of Notary Public- State of Florida) (Signatul a of Notary Public- State of Florida)
Pe alrsnlllly KK auv OR Produced Identification p�rSo_�nalli Knew OR Produced Identification
Typ dentif' c Ty p enti
'0 t CHRI
•�aq�°�'--CHRISTINAMARI R RIGUES = MY COMMISSION�C,G 2040
Commission N -'' Commission N =+ `'''' MISSIOi� 152040 I ES:Octob r 021
EXPIRES: October 18, 2021 ': OF F�X'' Sonded Thru Notary Public Undei 0tera
Revised 07/15/2014
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