HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AP
Date:
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 Permit Number:
�. SCANNED
BY
St. Lucie County
Building Permit Applicati
Planninj and Development Services
Buildin� and Code Regulation Division
2300 Vi ginia Avenue, Fort Pierce FL 34982
Phone: l(772) 462-1553 Fax: (772) 462-1578 Commercial
I AUG 3 0 2018
Permitting Department
1Ae1nyiS1 aunty, FL
PERIVII
APPLICATION FOR: Roof
PROPOSE
D'IMPROVE MENT LOCATION:"
Addri
I
i
Legal
14 Royal Palm Dr.
ption: Orange Blossom Est- Second Addn Blk 1 Lot 7
Property Tax ID #: 2421-605-0007-000-5 Lot No.
Site Plan Name: Block No.
Project {me:
Setback Front Back: Right Side: Left Side:
i
DETAILED DESCRIPTION OF WORK:
,.
Reroof: emove current shingle roof system, inspect and/or repair deck to code, install 1 ply of a 30#
felt, inst II new shingle roofing system to code
mc� — :__6 DPA/ (ZSW.
01
CONSTjRUCTION INFORMATION:
itio a wor !.to e e orme under this permit — check a apply:
F,H C L_J Gas Tank El Piping _ Shutters ❑ Windows/Doors
❑ El uric ❑_ Plumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 3,000 S . Ft. of First Floor: 3,000
Cost of C nstruction: $ 9,500 Utilities.
�Sewer Septic Building Height: 12'
i
OWNE
,/LESSEE:
CONTRACTOR:
Name 160,
Address:
City: Se
Zip Cod
Phone I
E-Mail:
Fill in fe
from the
Investments LLC
Name: Cameron Cooper
10612 S Rustic S Rd
Company: Modern Construction Experts, LLC
Address: 3141 SE Dominica Ter
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. 772-600-7872
E-Mail: Jenni@mcexperts.net
State or County License: CCC042804
le State: WA
98178 Fax:
Isimple Title Holder on next page ( if different
O wner listed above)
If value of[! onstruction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESIG
Name:
Address:
City: S
Zip:
ER/ENGINEER: of Applicable
168Investments LLC
MORTGAGE COMPANY: — Not Applicable
Name: Cameron Cooper
Address; 10612 icSRd
City: stun State:
Zip: Phone:
2414RoyaI r.
the State:
Phone
I
FEE SI
Name:
Address:
City:
Zip:
PLE TITLE HO Not Applicable
�
BONDING COMPANY: Applicable
Name:
3141 S ominicaTer
Address:
City:
I
Phone:
I
Zip: Phone:
OWNER/' 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. Lucie ounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is i 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 accord nce with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The folio I ing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNI YG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improve Iments 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
commehcin,q worlk-okrecord ing-yetrr-Notice of Commencement. _->
Agent for Owner
STATE OF L
FL A
COUN OF
The for oing instr ment was acknowledged before me
this day of 20J�(by
TffTe'of-person making statement
Known OR Produced Identification
ntl Icauon
Produ
_(Signature df N-otap Public- State of Florida )
Commi sion No. : '!s','kJHOVA NEGRON B
MY COMMISSION # FF221909
'•'.'dark'"` EXPIRES April 19. 2019
Signature of Contri
STATE O%� RI
COUNTY OFt_
The forgoing instru
this LOUday of
Produced
-1
acknowledg dd efore me
, 20 `0 by
aKing statement
OR Produced Identification
JSignaTuie of No�"ary Public- State of Florida )
Commission No. �*"JHOVfAff NEGRON B
MY COMMISSION # FF221909
"''•iOF F4 EXPIRES April 19. 2019
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DATE
RECEI ED
DATE
COMPLETED
Rev. 8/2/,17
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