HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE coi�T�'.11rED FOR APPLICATION TO BE ACCEPTED' '► /
Date: Permit Number:
SCANNED
•
ui I 19 , g Permit Application
Planning and Development Services APR o 4' 1�8
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 rmltling Dapartmont
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Res identift ar. Luclacounty
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 3575 S Indian River Dr
36 25 40 BEG 588.36 ft of NW COR OF NE 1/4 OF SW 1/4, TH S 119.99 FT, TH E TO RIV, TH NWLY ONRIV 130 FT, TH W TO POB-LESS TO RR-(27) (OR 3517
Legal Description:
-1359)
2426-3110007-000-8
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
Right;Side: Left Side:
DETAILED DESCRIPTION OF WORK: i
Roof shingle to metal, including detached garage, 5/12,
CONSTRUCTION INFORMATION:
iti onal work to e e orme un er t Is permit —',Check a -app y:
EIHVAC E] Gas Tank Gas Piping Shutters ❑ Windows/Doors
Electric, ❑Plumbing OSprinklers "Generator ❑✓_ Roof Roof pitch
Total Sq. Ft of Construction: 4100 S '. Ff of -.First Floor: 4100
Cost of Construction: $ 19.0000 Utilities:0Sewer 0Septic , Building Height: 12
OWNERAESSEE:
CONTRACTOR:
Name Bob Savino
Name: Jon Ashenback
Address: 3575 S Indian River Dr
Company: Atlantic Construction and Roofing
City: Fort Pierce State: _
Address: 4888 N Kings Highway #229 Fort Pierce FL 34951
Zip Code: 34950 Fax:
City: Fort Pierce State: FI
Phone No. 772-333-1634
Zip Code: 34951 Fax:
E-Mail:
Phone No. 7722153306C
Fill in fee simple Title Holder on next page ( if different!
E-Mail: Atlanticonstruction@gmail. corn
from the Owner listed above)
State or County License: CCC-057852
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU
ON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
N am e: Bob Savino
N am e: Jon Mhentiack
Address: 3575 S Indian River Dr
Address: 3575 S,,Indian River Dr
City: Fort Pierce
State:
City: Fort Pierce , State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE -TITLE HOLDER: _
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Add ress:,4888 N Kings Highway #229 Fort Pierce FL 34951
Address:
City: ' . ' �
I
City:
Zip: Phone:
Zip: Phone: I
I
OWNER/ CONTRACTOR AFFIDVIT: ApplicI6tion is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that isl 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 Owne�s 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 e I empt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, alls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commence ent may result in your paying twice for
improvement to your property. A Notice of Commencement mus a recorded and posted on the jobsite
before the fir# inspection. If you intends to obtain financing, consul with lender or an attorney before
commencing work or recordinizvour Notice of Commencement. I
Signature of wn / Les a/Contractor as Agent
.gay
Signature of tract •tense Holder
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(Signature r of Not Public- State o Florida )
(Signature of Nota ublic- State of Florida
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17