HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/12/18
Building
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
RECEIVED
Permit Application DEC 13 2018
ST. Lucie County, Permittin
Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 1"li4j)r
PROPOSED IMPROVEMENT LOCATION: III
Address: 1209 AUSTRALIAN AVE. , FT. PIERCE, FL 34982
Legal Description: THE TROPICS REVISED (PB 6-21) BLK 3 LOTS 1, 2 AND 3 (0.42 AC) (OR 3929-2530)
Property Tax ID #: 2433-801-0026-000/3,
Site Plan Name:
Lot No.1,2,3
Block No. 3
Project Name: MASE, PETE S_ GAAIhIFr�
Setbacks Front Back: Right Side: Left Side: _ BY
DETAILED DESCRIPTION OF WORK: III
REMOVE EXISTING FLAT DECK ROOF AND INSTALL NEW SELF ADHESIVE MODIFIED
BITUMEN.
CONSTRUCTION INFORMATION:
itiona wor to e e orme under
OHVP
tispermit—check
Gas Piping
all apply:
Windows/Doors
Gas Tank
_Shutters
11 Electric OPlumbing
❑Sprinklers
Generator
Roof LS Roof pitch
Total Sq. Ft of Constructtiion::r 3.5
Sq Ft. of First Floor:
]Sewer
Cost of Construction: $ �F+� l�W.
Utilities:
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MASE, PETE
Name: BILL POLLY
Address:1209 AUSTRALIAN AVE.
Company: BILCO ROOFING, INC.
City: FT. PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.
Address: 833 BARBER ST.
City: SEBASTIAN State: FL
Zip Code: 32958 Fax:
Phone No. 772-453-6142
E-Mail:
n_ ;n --. Ze s different
from the Owner listed above)
E-Mail: BILCOROOFINGINC@YAHOO.COM
State or County License: CCC1326n72
If value of ccn.tru. l— :. pc,m o Parnnncn n C . _,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 833 BARBER ST.
Address:
City:
City:
Zip: Phone:
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 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 antl 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
•...—.....r �� i....••r�. ., _.._ e_ •...._ = f rN= ;::mencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and poctad On thr inhtzitr
before the first inspection. If you intend to obtain financing, consult with le or an zttcr^cy before
commencins work g'& r cardinR_Vwff Notice of Ceni.^.:e^__^:="
Cmnnt f wnrr/ 1 nccnn/f'nntrartnr x 4�nnt fnr ll_prjpr
.. .fn f fr:ntnr r/I irnnca Holder
STATE OF FLORI4 A
'
STATE OF FLORID
VCy�
COUNTY OF ?:-
COUNTY OF
The forgoing instrukment was acknowledgedb efore me
:3
The forgoing instru ent was acknowledg before me
�QC
this day of UR C 20 V ` by
this�� day of 20 by
AIM Qally
a_,`lv t0k\l
Name of persorl making statement
Namebf person making ing statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced )?L ID L
Produced p L. D L
(Signature of Notary P biic-State of Florida )
(Slsiinture of t.otary ruulic- Mate of Florida )
Commission (Seal)
Commission No. i3 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
REVIEW
DATE
RECEIVED
DATE
CUMrLCity
Rev.8/2/17