HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONlLL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SOANNED Permit Num
t.; BY
St. Wd@01g1FAvV
Building Permit Applicatim
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
JUL 06 2013
ST. Lucie County, Permitting
Commercial Residential X
III
PERMIT
APPLICATION FOR: Roof
ROPOSED`hI * ROVEM'ENT L CATION., ``; , .
ress: 13233 NW Harbour Ridge Blvd,Paim City
Description: Harbour Ridge - Plat 5- Dewberry Village Unit 11 (Map 44/26S) (Or 1392 -1154)
Tax ID ii: Parcel ID :4425-604-0015-000-9
Lot No.
Plan Name: Block No.
2ct Name: 13233 NW Harbour Ridge Re Roof
Jacks Front Back: Right Side: Left Side:
ETAILED- DESCRIPTION 'OF WORK:',
Re Roof the whole roof , VViv1% • PW rEG R� tQ .,.,... 11R`a l' O It i TE(lM U 7A N t)'TU W val Ov W
-6.. a+) Ski A D I4-6j IV.$1 04A & �30 Te7tj 17AP*r -+n S 1V�"O) w % Ftl (111L I viiC
cw+ V WA S� c� Vl'A Th c S 6 IQ w; I�� W-T vj oK-A
ONSTRUCTION� I'NFORMTION
inner Mnrlf Fn RE nortnrimarl un ar is norms —r ar a a annv
1jHVAC ❑ Gas Tank
❑ Electric F] Plumbing
tal Sq. Ft of Construction: 3312
Est of Construction: $ 32.300.00
❑Gas Piping ❑Shutters a Windows/Doors
L�Sprinklers Generator Roof 6: 2 Roof pitch
S . Ft. of First Floor: 3312
Utilities:11Sewer Septic Building Height: 8'6"
WNER/LESSEE. `. =
CONTRACTOR.
Name
Pierce County Day Schools Inc
Name: Francisco Ulloa
AEI
Company: ROOFOREVER LLC
dress: Mineola Ave
C11
2
Phone
ty. Roslyn State: NY
i Code: 11576 Fax:
No. 516 6414433
Wail: fwP111@aol.com
Address: 1368 NW 129th Way
City: Sunrise State: FL
Zip Code: 33323 Fax. 954 999 5369
Phone No. 561 2941313
Fill
in fee simple Title Holder on next page (if different
E-Mail: rooforever@bellsouth.net
frill
m the Owner listed above)
State or County License: CCC 1327837
If value of construction Is 52500 or more, a RECORDED Notice of Commencement is required.
�SfPPLEMENTAL"
III
CE}NSTRUCTtON Lt�N I:AW INFORMATION
J F'i ° k ` f
Y . J1 �" 1 �` .Y. 3.. x... r 1. r' 3 .
x Not Applicable
MORTGAGE COMPANY:
Z Not Applicable
DESIGNER/ENGINEER:
Dame' morce County Day Schools Inc
Name: Pranciwoulloa
4dd ress• 13233 M Harbour Ridge Blvd,Palm City
Address: Mineola Ave
C'ty: Roslyn State:
city: Sunrise
State:
Itp: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
_Not Applicable
ame:
f
Name:
,add ress:1368 NW 12M way
Address:
Clity:
City:
Zip: Phone:
p: Phone:
I'f
GINNER/ 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. ucle County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
coth ch is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
strlucture. 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 'l 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,
acessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WII RNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
i3rovements to your property. A Notice of Commencement must be recorded dLnd posted on the jobsite
before the first inspection. If you intend to obtain financing cnonsuj with lender o an attorney before
ri mpnrinv wnrk nr rprnrdine vour Notice of Commenc�menfl✓ .
`%ASA
11 StG
ignature of Owner/ Lessee/Co r as Agent fof Owh6r
Sig ture C or/License Holder
STATE
OF11:011IIN'Vj lot
STATE OF FLORIDA
COUNTY
OF •.I s d4iJ
COUNTY OF 5 k . 1, O c
e forgoing instrumen 6vas acknowledge before me
The forgoing instrument was acknowledge before me
t,
is day of _ -S_y �l . 20j� by
this S day of , O iy 20by
IName of person aking statement
Name of person making statement
I?lersonally
Known " OR Produced Identification
Personally Known OR Produced Identification
h-Iype
f�
eRtddt+
odu d LEONARDO F GALAN
Type of identification
Produced_�L 1p�
Notaryis - State of New York
O1GA613819.1
7uya
in Nassau County
t
ign *J YO (
.
I
?�/
(Signature of Nota np RIE GIVENS
yCSPp.: L OU•`
My COMMISSION # GG 022023
R '(l
mmission No. (Seal)
Commission No. E 1 V0IRES1SeOI�r16.2020
r
11:,-? Elonded 7i:N NotaN public Underwriters
I
(REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
. 8/2/17