HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1•
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INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
SCANNED Permit Number:
BY
St. Lucie County
RECEIVED
Building Permit Application JUN 29, 2010
Plan ing and Development Services emitting Department
Buil �ng and Code Regulation Division St. Lude County
230 Virginia Avenue, Fort Pierce FL 34982
Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PER'VIIT APPLICATION FOR: Roof
PRO.,; OSED IMPROVEMENT LOCATION: D 1
Arbil v 105 Main. L- ` 1T-(7, L'`G-c_ e - 3 0 d--
i
Legal escription:
II
32 36 41 ROM NW COR OF LOT 13 BLK 1 HARRIS S/D RUN SELY ALG ELY RNV OF FEC RR 204.7 FT TO S LI OF MAIN ST, TH E 425.34 FT FORPOB, TH CONT E 140 FT, TH S 17622Fr, TH W 140 FT, TH N 17622 FT TOPOB
Prop II y Tax lD #: 3532-412-0002-000-2 Lot No.13
Site Pan Name: Green Block No. 1
Pro* t Name: Green
Setb Icks Front Back: Right Side: Left Side:
S
DET, ILED DESCRIPTION OF WORK:
REM' VE EXISTING ROOF SHINGLE
INST LL PEEL & STICK UNDERLAYMENT
INST�11_1_ 5 V METAL ROOF
CONSTRUCTION
INFORMATION:
Addil'Iona
wor tobenerformed under this permit -check
❑Gas Piping
all that apply:
Shutters
❑. Windows/Doors
HVAC Gas Tank
Electric Plumbing
Sprinklers
El Generator
WIRoof Roof pitch
Total
q. Ft of Construction: 2307
S . Ftof first Floor: 2307
Cost of
Construction: $ 16,000
I I
Utilities. Sewer Septic
Building Height: 8
OW,N
ER/LESSEE:
CONTRACTOR:
Nam
Addr iss:
City:
Zip Code:
Phon,i
E-M
Fill in
from
ANDREW M GREEN
Name: MAURICIO ORELLANA
105 MAIN ST
Company: ONE CONSTRUCTION & ROOFING
SORT PIERCE State:FL
34982 Fax:
No.772-200-0256
Address: 2766 SW EDGARCE ST
City: PORT SAINT LUCIE State: FL
Zip Code: 34953 Fax:
Phone No. 772-240-9497
E-Mail: oneconstructionservices@yahoo.com
IIII l: N/A
�ee simple Title Holder on next page (if different
he Owner listed above)
State or County License: GCC=1330623
If valuo of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i
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A_
tPLE_MENTAL CONSTRUCTION LIEN L_AW lNFORMATION _ F >, . r
w _ x
DESIGNER/ENGINEER:
Na
Add
City
Zip:
X_- Not Applicable
e: ANDREW M GREEN
MORTGAGE COMPANY: Not Applicable
Name: MAURICIO ORELLANA
Address: 105 MAIN ST
City: PORT SAINT LU State:
; Zip.: Phone:
ess: 105 Main St PORTS . LUCIE FL 34953
FORT PIERCE State:
Pho-ne
I
FEE
Na
Add
City
Zip:
IMPLE TITLE HOLDER: of Applicable
e:
BONDING COMP Not Applicable
Name:
eSS: 2766 SW EDGARCE ST
Address:
City:
Phone:
Zip: Phone:
:R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain aepermit to do the work and installationas indicated.
that no work or installation has commenced prior to the issuance of a permit.
County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such.
,e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
deration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
owing building permit applications are exempt from undergoing a full concurrency review: room additions,
ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
IING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
the first inspection. if you intend to obtain financing, consult with lender or an attorney before
onrina Wnrlt nr rprnrrlina vniir Nntirp of Cnmmpnrpmpnt_
Sign
ture of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STA
rE OF FLORIDA
STATE OF FLORIDA
CO
NTY OF
COUNTY OF
Drg instrument was acknowledged before me
The
The forgq g instrument was acknowledged before me
day
this
�1'R of _\.3 20 by
this of �j���� 20�Z�by
V�
N am e
Name of person mong statement
Name of person making statement
Pers
nally Known L/ OR Produced Identification
Personally -Known t----OR Produced Identification
TYPEof
Identification
Type of Identification
Proed
VV
Produced
(Sigr
Ad
ature of Notary Public- Sta of J ri��)
VP�,6'• PAULETTE BLAIR-AL
(Si�nat
XAN ER
re o N r b
C�l uua,,
Com
fission No. -• . + _) Notary Public -State
ofgfj i
. o � PAULE TE BLAIR-ALEXAND
ion. -No. �2• • �:
. ublic -State of Flor
e; Commission # FF
O";o?o�, My Comm. Expires Sip
9 q'�
6, 2020
_
:. , r ._
Commission ; FF 99569
My Comm. Expires Sep 6', 2
RE
IEWS
FRONT
ZONING
SUPERVISOR
PLANS
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VEGETATION
SEATURTLE
MANGROVE'
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DAT
j
REC
IVED
1
DAT
`
CO
PLETED
Rev. 8Z2/17