HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LI
te: '7-LDS- I a Permit Num
Building Permit Application SEP 18 2018
ITanning and Development Services LPermitting;and Code Regulation Division a rtm en
2L 00 Virginia Avenue, Fort Pierce FL 34982 t . i- X I eCounty, �L
,hone: (772) 462-1553 Fax: (772) 462-1578 Commercial R
P IRMIT APPLICATION FOR: To Select from dropbox, click arrow at the end.of line
P 'OPOSED IMPROVEMENT LOCATION:
Ad ; ress: 12863 South Indian River Drive
Description: 4 37 41 from pt on w bank of indoor w 940ft N of S dry of sec run th sway to E r/w Fe(
Prdperty Tax ID #: " U-+-%3,+v-vvvU-vvv-z7 R,Y Lot No.
Sit II�I Plan Name: 9t Lude CoUnty Block No.
Pro�Ject Name: DeFerrari
Se backs Front Back: Right Side: Left Side:
D ITAILED DESCRIPTION OF WORK:
Ins Ilation of a 5V Crimp metal roofing system P7 4 i Ai cvs� •
Aft the fact Permit -see engineenn information attached.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit -check a apply:
1HVAC 11 Gas Tank HGas Piping _ Shutters
Electric 1:1 Plumbing Sprinklers ❑ Generator
Tot Sq. Ft -of Construction: YOO
Costa, of Construction: $ 25,000.00
S Ft. of First Floor: _
Utilitiest Sewer Septic
QWindows/Doors
aRoof Roof pitch
Building Height:
0
NER/LESSEE:
CONTRACTOR:
Na
le aV@ a strati
Name: ICar O ara
Add
Company: Elite Roofing Solutions Inc.
Tess:12863 South Indian River Drive
City
Inca n ve.
Address:
FE-8
{� Jensen BeachState:
Zip
_
+ ode: Fax:
Stuart FL
City: State:
Phone
No. b7 0
34994 - 66-8L2W
Zip Code: Fax:
E-
�il:
Phone772-643-7
No.
Fill
E-mail: offlce.e Iteroo Ingso utions gmal .cam
i Ii fee simple Title Holder on next page ( if different
fro
the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r
UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ESIG ER/ENGINEER: Not Applicable
_
MORTGAGE COMPANY: Not Applicable
ram
'aP or ' et 16
Name:
i
ddr v
Address:
City.
City: State:
p: �� Phone Z�=Z,,S
Zip: Phone:
EE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
_
Name:
IIame:
ddress:
Address:
City:
Ity:
p: Phone:
Zip: Phone:
O NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I ertify 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
w ich 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.
Thil following building permit applications are exempt from undergoing a full concurrency review: room additions,
ac clessory 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
irr 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
commencinlz work or recordine vour Notice of Commencement.
ature of Owner/ Lessee/Contractor as Agent for Owner nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
OUNTY OF I%�lA4Ar h COUNTY OF fbAJ .� ti'N
forgoing instr ment was cknowledged before me
IQJ day of 201 by
U elsxcdo L&ro.
Name of person making statement
sonally Known - )— OR Produced Identification
ie of Identification
The forgoing instrument was acknowledged before me
this 16— day ofS2dl)U6� __htit. 20116 by
Name of person making statement
Personally Known )IL OR Produced Identification
Type of Identification
Produced
(
'ignature of Notary Public- State of Florida )
-TSign4ture of Notary Public- State of Florida )
ptF Ass Theresa Anne Fasano
`- A Theresa Anne Fasano
C'
mmission No. o NOTAWPUBLIC
Commission No. NOTA(;;` *E3LIC
—STATE OF FLORIDA
,� STATE OF FLORIDA
$ «� ?Comm# GG126275
F ., Comm# GG126275
Expires 7/
9/2021
XID res 7
9/2021
EVIEWS
�'i
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
ATE
CEIVED
ATE
iMPLETED
8/2/17