HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application 4
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982c�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResidentiaK
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT.LOCATION: _
Address: 651 SE HIDDEN RIVER DR
Legal Description: HIDDEN RIVER ESTATES BLK 1 LOT 7(OR 3020-1236)
Property Tax ID #: 3427-701-0008-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
REPLACE ROOF
�� (fit/ �-Hrl•Da`rtq .S-%� l �ch' .
Left Side:
Lot No. 7
Block No. 1
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit — ChecFT apply:
❑HVAC L__I Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑❑ g []Sprinklers ❑ _ ; . :❑� -Roof 4/12 Roof
Electric Plumbing Generator ��- pitch
Total Sq. Ft of Construction: 2400 S . Ft. of First Floor: 2376
Cost of Construction: $ 20,000 Utilities:DSewer Septic Building Height: 20
OWNER/LESSEE:- :
CONTRACTOR:.
Name MASON & TERESA WHARTON
Name:
,4—rn4
Address: 1461 SE NANCY LN
City: PORT ST LUCIE State: FL
-Company:likAScce&
Address: 345"2 St,J
Coss- aac,Pw4s Me.
Zip Code: 34983 Fax:
City: RaT sr "
C Stater
Phone No. 772-485-4157
Zip Code: 2417s-3
Fax:
E-Mail: MASON@MHWHARTON.COM
Phone No.
F? 1 3b
E-Mail: TCC(3vnc e-PTS /09 G7,o • Go M
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License:
CC_c 133 O -,� (n 2-
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL CONSTRUCTION•LCEN LAW INFORMATION:.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
one:
Name: WELLS FARGO
Address: 420 Montgomery Street
.City: SAN FRANCISCO State: CA
Zip: 94104 Phone:1-e0asss3ss7
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 I r or an attorney before
commencing work or recording vour Notice of Commencement.
i
Sign ur of wner/ Le ee/Co tractor as Agent for Owner
STATE OF FLORI A
COUNTY OF A,..nRo
The forgoing instrument was acknowledged before me
this r9_ day of d. 20 i9' by
Name of person making statement
Personally Known _X OR Produced Identification r�
Type of Identification
Produced;�,�
:I 's .."::Yg¢., ANDREA WTA
( ignatureo br-`o;;lli��f P�
Commission No.�fy`7
REVIEWS I FRONT ZONING
COUNTER REVIEW
STATE OF FLPRQ&.,
COUN
The forgoing instrumet was acknowledged before me
this 17Vday of J w"''� 20t by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced pi[�- ( o
(Signature of Notary Publi gate of Florida )
Commission No.
(Seal)
SUPERVISOR I PLANS VEGETATION I SEA TURTLE
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATECOMPLETED
mt�
Rev. 8/2/17