HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CUmfi; LETED FOR APPLICATION TO BE ACCEPT ;
Date: 0 Permit Number: �O 6
N RECEIVED
M J , ,�'
Building Permit Application NOV 0 9 2018
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division J.
2300 Virginia Avenue, Fort Pierce FL 34982
X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof By
S& 5 q '9:yyf E^M , $ p g R i3 Y-
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271 NE Airoso Blvd FL 34983
Address:
River Park Unit 9 Part C Blk 80 Lot 23
Legal Description:
3419-570-0095-000-9 23
Property Tax ID #: Lot No.
80
Site Plan Name: Block No.
Ortiz Reroof
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Complete Removal of exisiting material down to deck, renail to code on both sloped and flat roof,
install new 30# underlayment and new metal roof. On flat install new two ply system.
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Additional work to be nertormed under this permit — c ec a apply:
11HVAC E]GasTank Gas Piping Shutters Windows/Doors
_
Electric ❑ Plumbing Sprinklers Generator Roof
2841
Total Sq. Ft of Construction: S . Ft. of First Floor:
14775 16
E]
Cost of Construction: $ Utilities: _ Sewer Septic Building Height:
l "4 �, 3 ma �9 ti Hkq�4
�iCiNERjLESSEE
i� 5,6 3"k"`E�'+l'd" F !$ "'`�% l -P 3�4 ✓.
ICON �ACTt RL�
�� ..a.
Name d i i ci Or+-i'
Name: Douglas E. hoe
Code e RoofersInc
Company:
Address: 3341 a er
Address: if US6 Q � V 1v
a l N E
City: p6.-+ .1, 6%' e•`e... State: 4-
City: StuartState: FL
Zip Code: 3 W 3 Fax:
34997 87-776T
Phone No.
Zip Code: Fax:
E-Mail:
Phone No. 772-287-2829
Fill in The simple Title Holder on next page ( if different
E-Mail: jOhn coclered rooters. co m
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
_ Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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,
accessory 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
improvements 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
commencing work or recording our Notice of Commencement.
s
_ Signature of Owner LesseeAent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF , FLORID►„
COUNTY OF MA��4h COUNTY ek'r b'n
The forgoing instrument was acknowledgeyl efore me
this -E day of N OVGyyi bZY 20 II jj_f� by
A ltu e, dr+iZ
(Name of person acknowledging)
(Signatur of Public- State of Florida )
Personally Known OR Produced Identification x
Type of Identification Produced F(, 0-(
Commission No.
(Seal)
The forgoing instirliment was acknowledgeQefore me
this r day of 0C/�'66'0-r 20 ( C by
0our, eo c
(Name of per ac7;L,
(Signature of Not ubl' - State of Florida )
Personally K w OR Produced Identification
Type of Ide if /ation Produced
Commission No. (Seal)
LVt,,b
�u..�Revised 07/15/2014"GYP JOB J• SAVARESEYIS260667MY COMMISSION # GG260667 �+� EXPIRES: Se0, 2022
� o cvuiuFc-Sentember20,2022
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