HomeMy WebLinkAboutBUILDING PERMIT APPLICATION►L�I APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED qq G
Date: �- 018_7' IC)- l9 SCANNED Permit Number: I I l
II BY
Wit. Lucie County
� • -..,�„ RECEIVED
BuildingPermit A licatio�
pp Pl, i� nning and Development Services JUL 10 2018
Building and Code Regulation Division ST, Lucie County,Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
2559 Rainbow Drive. Fort Pierce
''
Legal Description..5 36 40 FROM NE COR OF N 375 FT OF S 1/2 OF NE 1/4 OF SE 1/4 RUNW 25 FT, TH S 254 FT, TH W 125 FT TO POB,
I
TH CONT W 125 FT, TH S 121 FT, TH E 125 FT, TH N 121 FT TO POB (0.35 AC) (OR 4004-120)
Pr4erty Tax ID #: 3405-414-0007-000-2
sit eI'Plan Name: Moura
Name: Moura ReRoof
Front Back:
'DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
ove existing shingles and replace with 26g 5v metal
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit —check a apply:
�i� HVAC Ei Gas Tank Gas Piping Shutters Q Windows/Doors
RElectric 0 Plumbing Sprinklers Generator Roof Roof pitch
Sq. Ft of Construction: 4696
of Construction: $ 27,363.00
Sq. of First Floor: 3080
Utilities: Sewer []Septic
Building Height: 11
OWNER/LESSEE:
CONTRACTOR:
Na �iDL.f_KUL
Name: o
�i�
AdTress: C/ IRA ill LIN L) b1 r�
i` �1
Company "(�
fficy 1�
C4.. E /_!E_ State: EL
Address:i(� 70-L
�
City: ;,)kA_Q n iE State:
Zipl Code: L3D&I Fax:
Phone No.J 0I
Zip Code:-4 Fax: %39Y8-All
Phone No.�9 !�
E- ail:
Fill �iln fee simple Title Holder on next page ( if different
E-Mail:Mu rov
fro Ii the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required..
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
— pp
Name:
Address:
�,d d ress: 2559 Rainbow Drive. Fort Pierce
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
,Name:
address:
BONDING COMPANY: — of Applicable
Name:
Address:
city:
City:
�Ip: Phone:
I'I
Zip: Phone:
INNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
ertify that no work or installation has commenced prior to the issuance of a permit.
Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
ich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
ucture. Please consult with your Home Owners Association and'review your deed for any restrictions which may apply.
consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
following building permit applications are exempt from undergoing a full concurrency review: room additions,
:essory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
mmenc' ork or recording your Notice of Commencement. , A
II
c
�
-Signature
ign ure of Own r/ Lessee/Con a or Agent for Owner
Signature of Con ctor/Licens H der
STATE
OF FLORIl
STATE OF FLORI
l -ll
COUNTY OF � 7` �1
COUNTY OF �l
The
for Ding instrument was acknowledged before me
The forgoing instr rent was acknowledged before me
hi day of 20/0 by
this day of 2W by
Name of person making stat m nt
'Personally
Name of erson making state nt
Knowny OR Produc Identification
Personally Known V OR Produced Identification
'IF of Identification
Type of Identification
Produced
lid
Produced
(Sig at ', fmjVpp I V t of F on a -
� �^�� b6LLUPY
�(Sig'na)lf Vora c- W. o
MY COMMISSION #FF770227
Commi si'c li EXPIRES October 21,(2040
"9
Com .F MY COMMISSION #FF1702 I)
(407):98,0153 FloridallotaryService.com
°• 33 i-°01ctober 2l 2018
(407)398-bi53 �
FloridallotaryService.corn
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
ATE
TOMPLETED
O
8/2/17