HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CUMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Y_:!12r'1 -7 Permit Number:
SCANNED
By RECEIVED
p 8
Building Permit Application APR 1019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Coun ty ,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR; Roof
I
PROPOSED IMPROVEMENT LOCATION:
Address: 3575 S Indian River Dr
Legal Description: 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
-1359)
Property Tax ID #: 2426-311-0007-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION: OF WORK: I
Reroof shingle to metal, Detached garage only, 5/12
CONSTRUCTION INFORMATION:
Additional work to E]Gas
e ne orme un er t is permit— c ec a app y:
0HVAC Tank Gas Piping _ Shutters a Windows/Doors
11 Electric ❑ Plumbing ❑Sprinklers E Generator ❑✓— Roof Roof pitch
Total Sq. Ft of Construction: 4100
Cost of Construction: $ 110M 2,r)()D
S . Ft.
of First Floor: 4100
Utilities: L_JSewer Septic Building Height: 12
OWNER/LESSEE:
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:
Phone No. 7722153306C
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail: Atlanticonstruction@gmail.com
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 CONSTRUCT N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Appl
Name: Bob Savino
Address: 3575 S Indian River Dr
City: Fort Pierce State;
Zip: Phone,
e I MORTGAGE COMPANY: _ Not Applicable
_ i Name: ion Ashenback
Address: 3575 S Indian River Dr
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 4888 N Kings Highway #229 Fort Pierce FL 34951
City:
Zip: Phone:
City: Fort Pierce State:
Zip: Phone:
INDING COMPANY: Not Applicable
me:
p: 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 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 ISt. 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 room's 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 o your property. A Notice of Commencement mus be recorded and posted on the jobsite
before the fir spection. If you intend to obtain financing, icons with lender or an attorney before
commencing k or recording our Notice of Commencement.
Signature of O e / -essee/Contractor as Agent for Owner
Signat'i a ontractor/License Holder
STATE OF FLO A
STATE OF FLORIDA
COUNTY OF 4-4-1 LJ Li, -e
COUNTY OF 5 — Lv c6 e
The forp'oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this j day of &DC1 L, , 20by
this day of L 20Iby
Sb N S h f n 0 A1rA
I S[�� i/- sj` ' Ln R &C
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Name of person making statement
(Name of person making statement
Personally Known OR Produced Identification_
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- S of Florida
(Signaturelo Notary Public- St4t6 of Florida
Commission No. (Se = D='
Commission No. (S_
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REVIEWS
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DATE
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DATE
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COMPLETED
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