HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr1_1_ APPLICABLE INFO MUST BE COMPLETED FOR APP
Date: GGANNI
St Lucie
TION TO BE ACCEPTED
Permit Number:
RECE—MED
Building Permit Application MAY 2 2 2018
Planning and Development Services _
Building and Code Regulation Division _'•!�. Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Roof
PROPOSED
IMPROVEMENT
b
LOCATION I
Address: 121 Riomar DR Port Saint Lucie, FL 34952 1
Legal Description: RIVER PARK -UNIT 3-BLK 24 LOT 16 MAP 34/22S) (OR 4040-432)
Property Tax ID #: 3419-515-0121-100-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
REROOF MAIN HOUSE4V 4/12 PITCH
FLAT ROOF RER�O{OF SBS/APP MODIFIED BITUMEN <2/12
Lot No.
Block No.
Additional work to be nertormed under this permit — ch ck all apply: L_ 11HVAC _I Gas Tank Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1500 S Ft. of First Floor:
Cost of Construction: $ 13,000 UtilitiesInSewer 0Septic Building Height:
GUNNER%LESSEE ,; „ n
,:
CONTRACTOR n .w r {
Name Inge Lee
Name: JOSEPH KOLINOSKI
Address: 121 RIOMAR DR
I
Company: ONSHORE ROOFING SPECIALISTS, INC
Address: 4401 SE COMMERCE AVE
City: Port Saint Lucie, FL 34952 State:
_
Zip Code: Fax:
City: STUART State. FL
Phone No. 954-628-2755.
Zip Code: 34996 Fax: 772-283-1557
E-Mail:
Phone No. 283-1505
Fill in fee simple Title Holder on next page (if different
E-Mail: INFO@ONSHOREROOFING.COM
from the Owner listed above)
State or County License: CCC1328994
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
f
SUPPLEME„NTALCONSTRUCTIpN LIEN
LAW INFORMATION'
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: Inga Lee I
Name: JOSEPH KOLINOSKI
Address: 121 RiomarDR Port Saint Lucie, FL 34952 I
Address: 121 RIOMAR DR
City: Port Saint Lucie, FL 34952 State:
City: STUART
State:
Zip: Phone I
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address: 4401 SE COMMERCE AVE I
Address:
'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 IIthe 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 dolhereby 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 uI
accessory structures, swimming pools, fences, walls, signs, scr
WARNING TO OWNER: Your failure to Record a Notic
improvements to your property. A Notice of Comm
before the first inspection. If you intend to obtain fi
commencing work or rec9lAiMyour Notic f-Com
going a full concurrency review: room additions,
rooms and accessory uses to another non-residential use
of Commencement may result in your paying twice for
icement must be recorded and posted on the jobsite
ancing, consult with lender or an attorney before
iencement.
Signature of Ow ee/Contractor as Agent for Owner
Signature of C
nse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The f. ing instru acknowledg afore me
The f oing instru
w acknowledge ore me
thi day of 2 by
this of
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me erson 7m>d`n1k statement
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Name pe so
ing statement
Personally Know OR Produced Identification
Personally Known
OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sig t 0 9 - )
(Sign ure o No ryPublic- St of Florida)
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My Commission GG 146949
CO ihl r;k Exnves 10l0t12021 (S 1)
Commission No.
Florida
tary Public Minify
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Trisha Neal
fI101�12021
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FRONT
ZONING
SUPERVISOR
PLANS
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MANGROVE
COUNTER
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DATE
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DATE
COMPLETED
Rev. 8/2/17