HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLIA,PPLICABLE INFO COMPLETED FOR APPLICATION TO BE ACCEPTED
Qa�[,,,e: . JUST BE Permit Number:
SCANNED
St Lucie count RECEIVED
V.
P/J'�' ri,g and De lopment Services Building Permit Application` SEP 17 2018
Builing and CodveeRegulation Division
236 1 6 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
,�IT APPLICATION FOR:
Roof
Site P an Name:
Setb pks Front Back:
Right Side: Left Side:
Lot No.
.^B|ockNu._______
�
�
5 a list 't, Insfall accessory metals and metal panels. We are not touching rear
.— —~ or lowpitch porch.
Add
/U 11E
0 Gas Tank E]Gas Piping Shutters VVindnma/Doors
L~� El Plumbing []Sprinklers Generator i�~�Roof Roof pitch
Total S Ft of Construction: 2900 Sq. Ft of First Floor:
Name J!o1seph W Guettler
Name: Juan Martinez
AddresLI:4025 Delaware Ave
Company: Total Roofing Systems Specialist
Address: 3201 SE Dominica Terrace
City: F�Irt Pierce State:FL
Zip C04 34947 Fax: 772'-872-8033
City: Stuart -FL
Phone No. 772-872-8030
E-Mail: Sam ira@totalroofingsystems.net
E-IMai1:1,Samira@totalroofingsystems.net
Fill in f'111
11
e simple Title Holder on next page ( if different
from th
I- Owner listed above)
State or County License: CCC1 330788
itvalue c!construction m�zsVVurmore, aRECORDED Notice o7Commencement is required.
CONSTRUCTIONSUPpPLEMENTAL
, �,'L-
EN c
-7
�"LAW` INFORMATION
DE, ER/ENGI NEER: xxx Not Applicable
MORTGAGE COMPANY: Not Applicable
�IGN
1� e:
N a� �I
Name: —
Ad,Vress:. -
Address:
Cit. [ : Fort Pierce State:
Y'
City: Stuart State:
Zip , Phone
Zip: Phone:
FE�:JSIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: LNot Applicable
Na e:
Name:
Ad ress: 3201 SE Dominica Termce
Address:
City:
Cit I'
Zi p1l,
Phone:
Zip: Phone:
OWN ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cert that no work or installation has commenced prior to the issuance of a permit.
St. � rie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Home Owners Association bylaws that restrict or such
whichIllis in conflict with any applicable rules, or and covenants may prohibit
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 acc" rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
I
The fo'lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acces ory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
T impr11 vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befod� the first inspectIOD'If you intend to obtain financing, consult with lender or an attorney before
co encing work or <Corcling your Notice of Commencement.
00
Sign
of Owner/ Lessee/Contrac as orjDw6er
Signature of tractor/License Holder
Signature
111
ATE
I E OF FLORIDA
15q TE FLORIDA
C061[
TY OF MARTIN
CO U NTY 0 F MARTIN
The 1,
1 6U1 116 instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1,TH
day AUGUST 20* by
this 13TH day of AUGUST 20A by
JUAN ty1ARTINEZ
JUAN MARTINEZ
of person making statement
Name of person making statement
PersclName
ally Known xxXx OR Produced Identification
Personally Known xxx OR Produced Identification
Type',.
f Identification
Type of Identification
Produiced
Produced
(SignAure
of Notary Public- State of Florida)
(Signature of Notary Public- StateofFlorida
Com
1Fission No. GG 197318 (Seal)
Commission No. GG 197318 ($WMM. GONZALEZ
Ge `Z
Florida
Notary Public - State of Florida
SAMIRA V.. GONZALEZ
_o. P94,
,]iorld
IS
Comrnission 0 GG 197318
Notary Public - State of Flo
r da 120
My Comm. Expires Mar 18,2022
ion 4 GG 1973:
Connnnissi
8
J�
Bonded througi
National Notary Alin,
'y
REVIEWS
FRONT
Z Mf my
C IV, 1
2.0 2
N ;S/
E GETATION
01 MK 'M It iltrs
MA" MR` O-V C
COUNTER
1,17
d'd t
t i'm
REVIEW
REVIEW
REVIEW
DATE
I
RECU,'�
ED
DATE 1'1
COLETED
Rev. 8/2'17
I