HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APP
Date: 05/17/2018
WIN
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
TO BE ACCEPTED
Permit Number:
u veerdr RECD
&rxlirt� Application MAY 1 R..?o'
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PERMIT APPLICATION FOR: Roof
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P,ROPOSED:'IMPROVEME.IUT`LO.CATION`$
Address: 18705 Mach One DrPort St Lucie, FL 34987
Legal Description: AERO ACRES BLK 1 LOT 13 (2.03 AC) (OR 2514-2646)
Property Tax ID #: 3215-801-0020-000-4
Site Plan Name:
Project Name: -by OinA UAS cCe
Setbacks Front Back: Right Side: Left Side:
,�"ILED DESCRIPTION OF WORK
Tear off, install underlayment, Install accessory metals and metal panels.
Lot No.13
Block No. 1
CONSTRUCTION INFORMATION
a t,
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Additional work to a er orme un er t is per it- c ec a apply:
E1HVAC 13 Gas Tank ❑Gas, Piping tn _ Shutters Q Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers E l Generator Roof Roof pitch
Total Sq. Ft of Construction: 3� I S . Ft. of First Floor:
1
Cost of Construction: $ �C1 1X0 0 O(� I UtilitiesSewer Septic Building Height:
I
01NNERALESSEE �, , f
TRACTOR
Name Andrew S Bruhn And Evangeline G Bruhn I
Name: Juan Martinez
Address:18705 Mach One Dr I
Company: Total Roofing Systems Specialist
City: Port St Lucie State:FIL
Address: 3201 SE Dominica Terrace
City: Stuart State:FL
Zip Code: 34997 Fax:772-872-8030 I
Phone No.772-872-8030
Zip Code: 34997 Fax: 772-872-8033
Phone No. 772-872-8030
E-Mail:Samira@totalroofingsystems.net I
Fill in fee simple Title Holder on next page (if different
E-Mail: Permit@totalroofingsystems.net
from the Owner listed above) I
State or County License: CCC1330788
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEI/NT�RuLL
p�NE
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
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Address:
City:
State: I
City:
State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
I
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 prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a ermit 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 approv plans, the Florida Building (Codes and St. Lucie County Amendments.
The following building per 'applications are exempt from Undergoing a full concurrsd
room ad I
accessory structures, swi in pools walls, signs, s teen rooms and acce other non -reside tial use
WARNING TO OW R: ur failure to Rec rd a No ice of Commen menin your paying ice for
improvements t property. A Notice of Com encement ust bend posted on t e jobsite
before the firs n ction. If you intend o obtain�financing,tn
nsult r an attorney efore
commencin or r recording your N ice of Cornmencemt.
re of/b)kner/ Lessee/Contractor as Agent for
STATE PF/f LORIDA
COUN Y OF_ M kf-tl n
Tr2=
dged before me
t20 by L'
Name of person Ing statement
Personally Known OR Produced Identification
Type of Identification
Produced
Signg6re4Contractor/License Holder
FLORIDA -
OF M04' -I h
T e f rgoing instrument was acknowledged before me
i _?lay of 20_J'C by
V G vl t✓l a (f 0 -C 2.
Name of person m ng statement
Personally Known OR Produced Identification
Type of Identification
I
(Signature of Notary Public- State of Florida)
(Sign ure otary P I, 'YP, SAMIRA
Commission No.
r /� e; � M. GONZALEZ
l� "1''0 .<
ONZALEZ
Commission No. Ci' Notary Pu 1M to of Florida
CommisSTon:�G197318
if
w: ,` _ Not ry u lic - State of FloEida
o`e Commission ; GG 19731 i3
of f ` My Comm. Expires Mar 18, 2022
�og ' My Comm. Expires Mar 18, 2022
Bonded through National Notary Assn.
REVIEWS
FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17