HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,
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►L! APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dllte: RECEIVED Permit Number: owj
I61
RECEIVED
Permitting Department
Buildi'h`geF''Ohnit, Application SEP 0 4 2018
PI nning and Development Services ST. Lucie County, Permittin
81 '�Iding and Code Regulation Division 9
2 � 100 Virginia Avenue, Fort Pierce FL 34982
P one: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: RoofLi
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P� IM`PROIV N"'�L�CATtbN
QPOSED
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-ess: 8722 Lonesome Pine TRL M 11 rh gW1g e
I Description: HIDDEN PINES ESTATES BLK BLOT 12 (1.00 AC) (OR 3650-1160; 3875-1406)
Prolperty Tax ID #: 2323-701-0027-000-5 Lot No.12
Site Plan Name: Mike DeFrancesco Contruction Project Block No. B
Pr I'ect Name: Mike DeFrancesco Contruction Project
Sepacks Front Back: Right Side: Left Side:
11
F1
)ve existing roofing shingle system using self-adhesive Polyglass underlayment applied direct to II
and install 24ga 5-V Crimp Galvalume Plus metal roofing system.
HVAC L _I Gas Tank
Electric 1:1 Plumbing
I Sq. Ft of Construction: 2500
of Construction: $ 1500
unaertnis permit—ci
[]Gas Piping
Sprinklers
apply:
Shutters ❑ Windows/Doors
Generator Ri Roof /1 2 Roof pitch
SQ. Ft. of First Floor: _
Utilities: Sewer Septic
Building Height: 20"
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NER{EESSEE
COI'�FTRACTf3R �;-.
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Na''
G Ross
Name: Ricardo Lara
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ress: 8722 Lonesome Pine TRL
Elite Roofing Solutions, Inc.
Company: 9
- Fort Pierce State:FL
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Address: 812 SE Lincoln Ave
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Phne=No:%r��
ICode:34945 Fax:
City: Stuart State: FL
Zip Code: 34994 Fax:
E-Mail:
Phone No. 772-643-7663
i
Fill
E-Mail: office.eliteroofingsolutions@gmail.com
in fee simple Title Holder on next page (if different
fro
the Owner listed above)
State or County License: CCC1330337
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CQNSTR:UCTION LIEN LAW INFORMATION ,I
me:
dress:
Phone,
SIMPLE TITLE HOLDER:
me:_
d ress:
Phone:
Not App
State:
Not Applicable
MORTGAGE COMPANY: V Not Applicable
Name_ '
Address:
City: Stuart State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Applicable
O1' NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
11 certify that no work or installation has commenced prior to the issuance of a permit.
St: Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in 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 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,
ac11essory 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
Ingprovements 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
commencine.work or recording vour Notice of Commencement.
as Agent for Owner
'ATE OF FLORIDA
)UNITY OF 47thl)
forgoing instru nt as a knowledged before me
day of 20 9 by
Name of person making statement
3nally Known _ 9 OR Produced Identification
of Identification
uced
of Notary Public- State of Florida )
Theresa Anne FasaA;eal)
NOTARY PUBLIC
STATE OF FLORIDA
of Contractor/License Holder
STATE OF FLORI A ,
COUNTY OF ' I
The forgoing instr nt w s acknowledged before me
this � day of 20 & by
<-�C.A-v Ia LAgA -
Name of person making statement .
Personally Known Y- OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. t q.,. Ther @419ne Fasano
NOTARY PUBLIC
!STATE OF FLORIDA
REVIEWS r�NrrIs
FR(91#es
126275
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SUPERVISOR
PLANS
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8/2/17