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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L SCANNED � b OHO - m BY l c�- ate: Permit Number: St. Lucie County RECEIVED JUN 2 8 1018 Building Permit Application ning and Development Services Per St. Lucie county Department ling and Code Regulation Division ) Virginia Avenue, Fort Pierce FL 34982 ne: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Roof E PROPOSED -IMPROVEMENT LO-CATIO:N::` i 4 Address: 203 OLIVE AVE. PORT SAINT LUCIE, FL. 34952 Le al Description: RIVER PARK -UNIT 2 - BLK 19 LOT 37 (MAP 34/22S) (OR 3144-2520) 1 - - - - Property Tax ID #: 34 9 510 0268 000 7 Lot No.37 Sit Ie Plan Name: Block No. 19 Prc#ject Name: Sei backs Front Back: Right Side: Left Side: DiTAILED DESCRIPTION OF WORK =;�� �'�y x° `Y , TEAR OFF EXISTING SHINGLE AND FLAT ROOF AND INSTALL NEW 30 YEAR ARCHITECTURAL SHINLGES AND SAWSAP MODIFIED FLAT ROOF C©_NSTRUCTION .INFORMATION h `' �...�.'';.; iao' ' =4��y Ac bditionalwork to be nertormed under tispermit—check all apply: HVAC Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors Electric ❑ Plumbing Sprinklers Generator W1 Roof 3�12 Roof pitch Total Sq. Ft of Construction: 3400 S . Ft. of First Floor: Cost of Construction: $ 13,375.0o Utilities. In Sewer 0Septic Building Height: I OUVN.ER%LESSEE. CONTRACTOR w; *sti Name VAL AND KERRIE KEIPER Name: RONALD LATTA ress: 203 OLIVE AVE. Company: TREASURE COAST CONCEPTS INC. Ad Cit : PORT SAINT LUCIE State: FL Address: 3458 SW PLUTO ST Zi Code: 34952 Fax: City: PORT SAINT LUCIE State: FL Phlone E-Mail: No.772-337-4463 SC07-1 40 Aec vlr-;u4-e/')'7-eet Zip Code: 34953 Fax: 772-905-4910 Phone No. 772-777-8130 in fee simple Title Holder on next page ( if different E-Mail: TCCONCEPTS@AOL.COM Fill State or County License: 'CCC1330362 fro the Owner listed above) It value of construction is $2500 or more, a RECORDED Notice of Commencement is required. S�UPPLE'IVIENTAL CONSTRUCTION LIEN LAW INFORMATION`��41 �. hfi x DESIGNER/ENGINEER: x_ Not Applicable MORTGAGE COMPANY: X Not Applicable ame: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable ame: Name: Address: ddress: City: City: Phone: Zip: Phone: Z�p: NI,, NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. rtify that no work or installation has commenced prior to the issuance of a permit. ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure i ch is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such 'cture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In onsideration 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. Thd 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 \W RNING 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 be -ore the first inspection. If you intend to obtain financing, consult with lender or an attorney before coi nmencing work or recording vour Notice of Commencement. ature of Owner/ Lessee/Contractor as Agent for O) ner I Signat ,TE OF FLORIDA�II, JNTY OF ie forgoing instrunlent was acknowledge before me is�day of 20 `1 by Name of person m sonally Known l/ e of Identification bl mission No. ig statement Produced Identification dary Public —State of Florida Commission # GG 1359 9 yomm.Expires Sep 2021 ,ded through National Notary Assn. se Ho STATE OFFLCRID COUNTY OF ��� • ��,'� The f ing instrument was acknowledge efore me this _ day of �,oe_ 20 �by Zen"i A ��J ."44a Name of person making statement / Personally Known OR Produced Identification Type of Identification Produced re of-176tary Public- State mmission No. (�& 1.94oc Notary Public - State of F Commission # GG 1941 VA Comm. Expires Mar 11 dd through National Notai EVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW GATE r ECEIVED l ATE COMPLETED 8/2/17