HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR
Date:
11
mi .
TION TO BE ACCEPTED
Permit Number: C1v v
Build'ingc�e ®uitvApplication RWMW
Planning and Development Services MAY 14 `2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 p rmitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ot, i,uN cagnty
PERMIT APPLICATION FOR: Roof I
PROPOSED IMPROVEMENT LOCATION:
Address: 2614 Newport Dr Fort Pierce. FI 34982 I
Legal Description: ORANGE BLOSSOM ESTATES-2ND ADDN-2ND PLAT BLK 7 LOTS 7 AND 8 (0.72 AC) (OR 1879-2689; 2324-2637)
Property Tax ID #: 2421-609-0015-000-6
Site Plan Name:
Project Name: James Trinidad
Se4backs Front Back:
DETAILED DESCRIPTION OF WORK
Replace metal porch roof pan system
Right Side:
Left Side:
Lot No. 7&8
Block No. 7
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit — check all apply:
11HVAC Gas Tank Gas Piping I Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers 11 Generator Z Roof Roof pitch
Total Sq. Ft of Construction: 5995 S . Ft. of First Floor:
6200.00 I
Cost of Construction: $ Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name James Trinidad
Name: James Cody Thomas
Company: Florida Retrofits., Inc.
Address: 2614 Newport Dr
City: Ft. Pierce State:Fl
Address:
Zip Code: 34982 Fax:
City: Palm Bay State: FI
Phone No. (561) 262-5084
Zip Code: 32905 Fax:
E-Mail:
Phone No. 877-659-8354
Fill in fee simple Title Holder on next page ( if different
E-Mail: info@florid a retrofits. com
from the Owner listed above)
State or C` unty License: CCC1330830/CBC1259135
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: Not Applicable
N am e: James Trinidad
_
N a me: James Cody Thomas
Address: 2614 Newport Dr Fort Pierce. FI34982
Address: 2614 NewportDr
City: Ft. Pierce State:
City: Palm Bay State:
Zip: Phone
iZip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
'iBONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 issi]ance of a permit.
St. Lucie County makes no representation that is granting a permit will[ authorize the permit holder to build the subject structure
is in Home Owners Association bylaws that restrict or such
which conflict with any applicable rules, or and covenants may prohibit
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 to obtain financing; consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
I
I /
Signature Owner/ Lessee/Contractor as Agent for Owner
Signature Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF �i�-✓
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this s' day of 2[� by
this-57 day or -el 2Qt'� by
�►r�—s G�
J Co
Na.me of per on making statement
I Nanip-of pe son making statement
Personally Kno OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type ofl Identification
Produced
Produced
Signature of Nota Public- S
SHARON LI NKENSHIP
(Signattre of No
-
SHARON LISA BLANKENSHIP
•;
Commission No. s=: :° : ee
� 51 #FF153833
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Commission No.
• € MY COMMIS�IFMa4FF153833
• COMMI
• 2018
EXPIRES August 24,
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', EXPIRES August 24, 2018
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(407) 398-0153 FloridallotaryService.com
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Rev. 8/2/17