HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5`�� Permit Number: ,A(f35— 5)
SCANNED
rs; BY RECEIVED
St Lucie County
Building Permit Application MAY 0 3 2-018
Planning and Development Services
ST, Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-I1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT'LOC/►TION
Address: 7354 Pine Creek Way
Legal Description: 22 36 39 that part of Sec 122 MPDIN OR 552-618 and known as Pine Creek Townhomes Pase 11B Bldg 8
Unit 24, 7354 Pine Creek Way
Property Tax ID #: 3322-233-0024-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: �
Remove garage roof, apply 30# felt,J Install new heavy pressure treated cedar shakes.
CONSTRUCTION INFORMATION:
Add itional work to be nertormed under this permit —check all apply:
1JHVAC L_J Gas Tank nGas Piping Shutters Q Windows/Doors
11 Electric ElPlumbing Sprinklers 0 Generator R1 Roof Roof pitch
Total Sq. ,Ft of Construction: 600
Cost of Construction: $ 5200.00
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height: 1
OWNER%LESSEE:
CONTRACTOR:
NameAdrianne Greenberg
Name: David Packard
Address: 7354 Pine Creek Way
Company: Packard Roofing & Waterproofing, Inc.
City: Port St. Lucie State: FL
Address: 2182 NW Reserve Park Trace
Zip Code: 34986 Fax:
City; Port St. Lucie State: FL
Phone No.631-252-0612
Zip Code: 34986 Fax: 772-468-9978
E-Mail:
Fill in fee simple Title Holder on next pagel(if different
Phone No. 772-468-3723
E-Mail: ssmith@packardroofing.com
from the Owner listed above)
State or County License: CCCA17517
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: o't Applicable
MORTGAGE COMPANY: Not Applicable
Name:_
Name:
Address:
Address i
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not;Applicable
BONDING COMPANY: Not Applicable
Name: I
Name:
Address:
Address: i
City: I
City:
Zip: Phone:
'
Zip: Phone: I
I
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 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
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 tolobtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF _5t COUNTY OF
I
The forgoing instrumelit was acknowledged before
this 9( day of % 20't r by
I^A.c_� cr '(�
Name of person making statement
Personally Known / OR Produced Identification
Type of Identification
Produced
(Signature of Nota
STEPHANIE P. SMITH
Commission No. ; _°. :^`: NotaryPubl ofFlorida
. , Commission 4 GG 139524
=uS a My Comm. Expires Sep 2, 2021
9j cF BordedthroughNational NotaryAssn.
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
DATE
COMPLETED
Rev. 8/2/17
The forgoing instrument was acknowledged before me
this �0+d�yof<<� 20j� by
rb,-,) Zd i Cx of c)
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
(Signature of Notary
STEPHANIEP.SMITH
SMITH
Notary Pub-?t�Y� of Florida
Commission No. __• `- rFRlg139524
• Commis
CF r^^:RPP My Comm. Expires5ep 2, 2021
Borded through National Notary Assn.
SUPERVISOR
I REVIEW I VEGETATION REVIEW —
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