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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION• F-1 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:1`3` �� Permit Number: SCANNED {DECEIVED -Y..- . BY • -- St. Lucie County J U L 0 3 ? 018 _ Building Permit Application ST. Lucie County, Permitting Planning and Development services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Roof PROPOSED (IMPROVEMENT LOCATION: Address: I �a Oran Dr QR k* q� i Legal Description: �l mm Property Tax ID #:� Lot No. Site Plan Name: N/A Block No. Project Name: N/A Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A DETAILED DESCRIPTION OF WORK: W e; w•kw teLLx- - e-x� �� C�s�V 51n� 1e rco� �oc3 I nsSa�t of S-V M� Sk� CONSTRUCTION INFORMATION: Additional work to e nertormed under this permit — check all apply: [1HVAC Gas Tank Gas Piping Shutters Q Windows/Doors _ Electric ❑ Plumbing nS rinklers Generator Roof Roof pitch — — g E] P — — Total Sq. Ft of Construction: S . FtFtj. of First Floor: N/A Cost of Construction: $ �Dr 9 ePO. rr� Utilities. L_ISewer 0 Septic Building Height: N/A `OWNER/LESSEE: CONTRACTOR: Name e— ay Name: Christopher Collins Address: 145 515 n VIN AC Company: Collins Roofing Inc. Address: P.O. Box 12867 City: State: City: Ft. Pierce State: FL Zip Code: © M Fax: N/A Phone No. N/A Zip Code: 34979 Fax: 772-489-6505 E-Mail: N/A Phone No. 772-201-1352 E-Mail: collinsroofinginc@gmail.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: CCC-058011 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: Ft. Pierce State: Zip: Phone _ Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: P.O. Box 12867 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. 1 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 appr ed plans, the Florida Building Codes and St. Lucie County nts. The followin uilding permit p ' ations are ex pt from undergoing a full co rrency review: ro m a ions, accessory ructures, swim ' pools, fences, wall , signs, screen rooms an ccessory uses to anot non-residential u WAR NG TO OW our failure t Rec rd a Notice of Co encement ma s i your paying twic for imp ovements t our roperty. otic of Commence nt must be re d a posted on the' bsite b ore the fir sp tion. If inten to obtain finan Ing, consult w' der rah att�ey b ore c mmenci or�rr r co_ ng your otice of Comm ncement. /I ctor as Agent for Owner STATE OF FLORIDA COUNTY OF The f rgoing inst m nt was acknowledg efore me this day of 20ly by Name of person making statement Personally Known OR Produced Identification Type of Identificationrr_ !DARDEN• State of Florida # GG 169025 Commission No. (Seal) Holder STATE OF FLORIDA COUNTY OF The fprgoing inst ment was acknowledged before me this � day of 20by Name o p rson making statement ! / Personally Known OR Produced Identificationy Type of Identf atipn/y,., ,// 4)n-;? DZn BELIN +.�' D ARDEN 1C- Slate of Flo ._ rida Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED �J DATE COMPLETED Rev. 8/2/ 17