HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1� 96CAN NED Permit Number: `4 )1" ddsl
.' St.LLudoe COS o RECEIVED
® JUL 03 2018
-- 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 Commercial Residential x
PERMIT APPLICATION FOR Roof
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Address: 5006 Ft. Pierce Blvd Ft. Pierce, FL
Legal Description: Lakewood Park - Unit 1 - Blk 7 lot 1 (Map 13/14N)(OR 3781-2789)
Property Tax ID #: 1301-601-0100-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Remove existing shingle roof and install new metal roof �6 ��Ui-)O'er IDLY Ynorf
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clitional workkto (e performed under this permit — c XK all that apply:
nHVAC 13 Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric El Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1576 S�Ftj of First Floor:
Cost of Construction: $ 8500 Utilities: nSewer Septic Building Height: 8'
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Name Tracy Seegott Name: Jamie Cisco
Address: 1165 SW 27th St. Company: Sunshine Roofing LLC
City: Palm City State: FL Address: PO Box 1083
Zip Code: 34990 Fax: City: Palm City State: FL
Phone No. 772-233-1552 Zip Code: 34991 Fax:
E-Mail: tseegott@gmail.com Phone No. 772-260-8195
Fill in fee simple Title Holder on next page ( if different E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above) State or County License: CCC1327796
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
21
MORTGAGE COMPANY:
_ Not Applicable
DESIGNER/ENGINEER: _Not Applicable
Name:
Name:
Address:
City:
State:
Address:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
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. l fyT intend to obtain financing, consult with lender or an attorney before
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Signatu of Own e s e,/Co ractor as Agent for Owner
'Sign� f Contractor/License Holder
STATE OF FLORIDA
STATE OF FLOR,IDA
COUNTY OF St Lucie
COUNTY OF St. Lucie
The for oin instr�nt was acknowled a efore me
this day of f i A � , 20 Yby
The for oing instru t was acknowledge before me
this, day of t 20 by
!� ' ,Q�--
Jamie Cisco
Nafrte of pe son making statement
Name of person making statement
Personally Known OR Produced Identification ✓
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced Tit 0-C n 5el
Produced
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(Signatu a of Nota
(Signs re of Not I'c- ate of Flo ida )
�4t'sy PLOD Notary Pt���bldd'r State of Florida
Commission No. $ 1 Maril n 9Ci1 oel
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o.�.av PLo Notary Publi f Florida
Commission No. 4 : t A . S'@�Ip
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o MY Commission FF 230179
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of e�o� Expires 06/28/2019
dx N& Expires 06/28/2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
F
DATE
COMPLETED
Rev. 8/2/17