HomeMy WebLinkAboutBUILDING PERMIT APPLICATION ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (_Dg- 11 11 Permit Number:
s -�--- �� I RECEIVED
Building Permit Application
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)462-1578 COJIY1merCial Residential X
PERMIT APPLICATION FOR: Roof
PROPOS'ED]MP'kdVEME°NT L`OCATI.ON
Address: 603 ASH ST PORT SAINT'LUCIE FLORIDA 34952
Legal Description: RIVER PARK UNIT 2 BLK 15 LOT,10
Property Tax ID#: 3419-510-0152-000-1 Lot No.10
Site Plan Name: ASH f Block No. 15
Project Name: ASH l
Setbacks Front Back: (Right Side: Left Side:
D_ETAILE:D DESCRIP_TION'OF WORK
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VIVE RREADY HAVE RERMIT FOR T_HE HOUSE-Jf-1805 0663
B " ILDI,NG INSPECTOR REQUIRE'FERMIT FOR'SHE� N"l`FEBACLPPROXIMATLE 400 SQ
F REMOVE AND REPLACE ROOF COVfER INSTALL NEW UNDELAYMENT AND METALL ROOF
CONSTRUCTION INFORMATION
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Additionalwork to e e orme un ert ispermit—check a apply:
1JHVAC0 Gas Tank / Gas Piping _Shutters Q Windows/Doors
Electric Plumbing OSprinklers Generator Roof ® Roof pitch
Total Sq.Ft of Construction: 400 S .Ft.of First Floor: 400
Cost of Construction:$ 2000 Utilities: Sewer OSeptic Building Height: 8'
01NNERL/LES5EE 1 — 7 F C®NTRACTOR
Name PETRA SCHOCH Name: MAURICIO ORELLANA
Address:603 ASH ST Company: ONE CONSTRUCTION&ROOFING
City: PORT SAINT LUCIE State:FL Address: 2766 SW EDGARCE ST
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State:FL
Phone No.772-559-5643 Zip Code: 34953 Fax:
E-Mail:NIA Phone No. 772-240-9497
Fill in fee simple Title Holder on next page(if different E-Mail: ONECONSTRUCTIONSERVICES@YAHOO.COM
from the Owner listed above) State or County License: CCC-1330623
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAWJNF0RMAT10
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable
Name:PETRASCHOCH Name:MAURICIOORELLANA
Address:603 ASH ST PORT SAINT LL4WCFL0R1DA 34952 Address: 603 ASH ST
City: PORT SAINT LUCIE State: City: PORT SAINT IE State:
Zip: one Zip: Phone:
FEE SIMPL TITLE HOLDER: of Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:2766 SW EDGARC Address:
City: City:
Zip: Phone: 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 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 to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
SI nature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �`y COUNTY OF
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged efore me
this I( day of-����`Q_ 20 �q by this Aay of — v ,20by
Name of person making statement Name of person making statement
Personally Known ✓ OR Produced Identification Personally Known L-----DR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public-Stat of CIari a of Notary Public Stato#,Ql rida
,PREP 6 d01pa P(,B�i',, PA LETTE GLAIR-ALEXAND R
° PAULETTE BLAIR-A EXANDER °2 ;°= Njjryl�ublic-State of Flor d
Commission No. R ; ) Notary Public-State ofpf�dl9Ais 'on No. +' ` am issian,k FF 99569
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Commission#FF 95699
My Comm.Expires S p'6,2020p My Comm.Expires Sep 6,2 2
REVIEWS FRONT ZONING SUPERVISOR PLAN VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REV REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Rev. 8/2/17