HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater 1 `$� \dk 'sukNN ; Permit Number: 1'to`'1r d 53l
RECEIVED
Building Permit Applicati n APR 1 � 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
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 �- 1
PROPOSED IMPROVEMENT LOCATION:
Address: J
I
Legal Description: HARBOUR RIDGE -PLAT 5-DEWBERRY VILLA E UNIT 10 (MAP 44/26S) (OR2855-1 9)
Property Tax ID #: 4425-604-0014-000-2
Site Plan Name: ?rCQ V—Jt 2ti
Project Name: PREVIDI REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
RESIDENTIAL REROOF M ::>
'` v le,__It�r % LJ,_—_-ye_ urNCLW\6,y"
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit — c ec
0HVAC 13 Gas Tank Gas Piping
a
app y:
Shutters
❑ Windows/Doors
_
Electric 0 Plumbing
Sprinklers
Generator
g Roof Gel' Roof pitch
- I
Total Sq. Ft of Construction: ta� • Z. L-1 `�S
. Ft. of First Floor:
Cost of Construction: $ 26,650.00
I Utilities:
Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name EUGENE & LINDSAY PREVIDI
Name: HERBERT FRANK
Address:13235 HARBOUR RIDGE BLVD
Company: ROOFING SYSTEMS OF FLORIDA, INC
City: PALM CITY State: FL
Address: 583 105TH AVE N
City: ROYAL PALM BEACH State: FL
Zip Code: 34990 Fax:
Phone No.917-225-0045
Zip Code: 33411 Fax:
E-Mail: 671 Pre- ls, I i- e
Phone No. 561-795-5566
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ADMIN@MYROOFSYSTEM.COM
State or County License: CCCO29554
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prionto 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, 11 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 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
I
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
commencine work or recordine vour Notice of CommencemAt. a f 0
YSign
re of Owner/ Lessee/Contractor as Agent or Owner
Signature of ontractor/License Holder
STATE OF O
STATE OF FLORIDA
COUNTY OF n,
Wi�t?1iC�
COUNTY OF �1''Da � �Xk
�
The forgoing instent was acknowledged before me
ru
The for oing instrument was acknowledged before me
this ��day of 20-& by
this ay of 20N_�6y
LIA LA-C �&f_ / 1A 1
Z1 & A"-
0 Name of pets n making statement
Name of person m king statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of N ,
to State` wsrrrh it U
(Signature of Not y 90bL Sty of Florida
no" l?ubric - of s�r6da �
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• * � • Commission # FF 237347
Commission No.
• a •= Commissi . &T 237347
Jun
Commission No. 'fin "
F y Comm. t ojun 4, 2019
omm. Expires 4, 2019
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' iflPiii '` Bonded through National Notary Assn,
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�Riiu BondedthroaghNational [MaryAssn.
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COMPLETED
tev. 8/2/17