HomeMy WebLinkAboutBUILDING PERMIT APPLICATION2 SCANNED
APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
te: $ 5 vi Permit Number: ' j.L
RECEIVED
_ - ---- - __ Building Permit Applica ion AUG 15 2018
fanning and Development Services ST. Lucie County, Permitting
uilding and Code Regulation Division
300 Virginia Avenue, Fort Pierce FL 34982
hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
RMIT APPLICATION FOR: Roof
OPOSED IMPROVEMENT LOCATION:
Tress: 8075 Kiawah Trace
al Description. POD 25 at The Reserve Lot 48 (OR 1101-1735: 1241-1440: 1921-2663; 3790-1004
perty Tax ID #: 332'1-705-0049-000-2
Plan Name:
ject Name:
:backs Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.48
Block No.
:move tile, renail plyw000d, apply 30# felt and TU Max self adhering tile underlayment. Install
ncrete tile using two galvanized screws per tile.
'CONSTRUCTIONINFORMATION:
dclitional work to be nertormed under this permit — check all apply:
11HVAC LJ Gas Tank ❑Gas Piping _ Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers F-1 Generator E] Roof Roof pitch
ptal Sq. Ft of Construction: 5000 SnFt.I of First Floor:
Cost of Construction: $ 36,000.00 Utilities: L_J Sewer E]Septic Building Height: 1
11
WNER/LE5SE'E:
CONTRACTOR:
ame Jacqueline Tomai
Name: David Packard
ddress:8075 Kiawah Trace
Company: Packard Roofing &Waterproofing, Inc.
Port St. Lucie State: FL
Address: 2182 NW Reserve Park Trace
1�ty:
Zip Code: 34986 Fax:
City: Port St. Lucie State: FL
one No.464-0131
Zip Code: 34986 Fax:
-Mail:
Phone No. 468-3723
Fill
in fee simple Title Holder on next page if different
ssmith ackardroofin com
E-Mail: @P 9•
frl,om
the Owner listed above)
State or County License: CCCA17517
lue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
II
_
UPPLEMENTAL CONSTRUCTION LIEN:: LAW INFORMATION:
u
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _KNot Applicable
dame:
Name:
d d ress: 807510awah Trace
Address:
ity: State:
City: State:
Zip: Phone
III
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
ddress:
Address:
ity:
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 Ali ertify that no work or installation has commenced prior to the issuance of a permit.
S Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Home Owners Association bylaws that may restrict or such
w� ich is in conflict with any applicable rules, or and covenants prohibit
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
19 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.
T e following building permit applications are exempt from undergoing a full concurrency review: room additions,
alcessory 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
ir'provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
cornmenciniz work or recording our Notice of Commencement.
igna ure of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor lcense Holder
SSTATE OF FLORIDA
STATE OF FLOR DA
e-
OUNTY OF S+
COUNTY OF , A_ LJC�
The forgoing instrument was acknowledged before me
his ay of�} g.2if— 20jkby
The forgoing instrument was acknowledged before me
g g g
thisj,�fNayof 09as - .20 �y
t- CL/-Cj
?.lyii-dPoe-tc cy d
Name of person making statement
Name of person making statement
(Personally Known OR Produced Identification
Personally Known `I OR Produced Identification
Type of Identification
Type of Identification
roduced
Produced
(Signature o igh
(Signature of Notary Public- State o FI ri a
STEPHANIE P. SMITH
o�°g�'"`•:; a
Commission : _. .^. Notary Public-State,af mg
GG t 39 �44
p' STEPHANIEP.SMITH
Commission No. , " ° `• ypublic-Sta(�tld da
. , . • : ommtssion Y
Sep 2, 2021
= • = �pmmission GG 139524
• =
v My Comm. Expires
CPti.•• Bonded through National Notary Assn.•'
':� My Comm. Expires Sep 2, 2021
•'9�OC F� National Nota Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
ECEIVED
DATE
COMPLETED
�j
R`V.8/2/17