HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IN llUnn ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED;
Date: VI � b SCANN99 Permit Numb r
low u.
Building Permit Applicatio
JUN 19 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROP..OSED.IMPROVEMENT:LOCATION ,;."
Address: 752 ALTURA ST
Legal Description: RIVER PARK -UNIT 3- BLK 24 LOT 9 AND NELY 6.5 FT OF LOT 10 (MAP 34/22S) (OR 3169-105)
Property Tax ID #: 3419-515-0115-000-5
Site Plan Name:
Project Name: Reroof
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF -WORK:
Reroof of BOTH flat and shingle slope
T#;Ait- n)::a
Left Side:
Lot No. 9
Block No. 24
CONSTRUCTIONw-INFORMATION
itiona or to jp ne orme un ,er t .is permit — check all th i a apply:
❑HVAC LJ Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric 0 Plumbing ❑Sprinklers ❑ Generator Roof 2 Roof pitch
Total Sq. Ft of Construction: 1660 S . Ft. of First Floor:
Cost of Construction:,$ gn00 Utilities: Sewer ❑Septic Building Height: 11
OWNER/,LESSEE.
CONTRACTOR:
Name Jan=Dalcorso;Trustee of PSL 2018 SeriesAtand Trust,
Name: Danny Tomici
;Address:6694 SW Busch St . -
Company: The RoofSmith
CitPalm City State: Fi
Address: 612 N Orange Ave A2
'Zip Code: 34990, Fax:
City: Jupiter State: FL
Phone No. 772-287-6885
Zip Code: 33458 Fax:
_.
E-Mail: Jandalco@aol.com
Phone No. 561-386.2109
Fill in fee simple Title Holder on next page (if different
E-Mail: Danny@TheRoofSmithFL.com
from the Owner listed above)
State.or County License: CCC1327247
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION yLIEN
LAIN
, ..
DESIGNER/ENGINEER:
— Not ApplicableMORTGAGE
COMPANY:
— Not Applicable
Name:
Name: DannyTomici
Address: 752ALTURA ST
Address:
City:
State:
City: Jupiter
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address: 612 N Orange Ave A2
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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature ntract or/Li en olde
STATE OF FLORIDA f , n/�, j�
STATE OF FLQ)RW
COUNTY OF ` J 1_J�V V I
COUNTY OF -t'1�t'Ack
The forgoing instrument was acknowledged before me
The for ing instr ment was acknowledged before me
��XLsL
this O dayof , 20 by
this W of , 201'- by
Name of person making statement
Name f pe[so>making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of IdentifigAian
L--
Type of Identification
Produced
Produced V
(Sign ture of Notary Public- St
a of F orid ) DESIREg h, LI °.'t,
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SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
`�'
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17