HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: \Q -a i -1> � Permit Number:
N RECEIVED
Building Permit Application DEC 28.2018 SCANNED
Planning and Development Services Permitting Departmont't• Lucie co Building and Cade Regulation Division St. Lucie County UI1
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXXXX
PERMITAPPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:.
Address: 3965 Oak Hammock Lane
Legal Description: 29 35 40 FROM NE COR OF SW 1/4 OF SW 1/4 OF NW 1/4 RN s 00 24 30 W ALG E LI OF SW 1/4 OF SW 1/4 OF N W 1/4 256 FT FOR POB;
TH CONT S 00 24 30 W 321.17 FT, TH N 88 39 44 W 133.65 FT, TH N 17 1146 E 153.45 FT, TH N 07 56 29 W 30 FT, TH N 87 35 09
Property Tax ID #: 2429-233-0001-070-7 Lot No.
Site Plan Name: Marion McDowell Re -roof Block No.
Project Name: Marion McDowell Re -roof
Setbacks Front Back: Right Side: Left Side:
DETAILEDwD,ESGRIPTION"bF WORK ,�h m
%Y`oi1 ZOO me W\ fOO,(- CAY\6 TtvU'Y\?r U3 kk 1 YYvt�kcJ ,
L_jHVAC LJGas Tank UGas
11 Electric 0 Plumbing �Spi
Total Sq. Ft of Construction: 3.814
Cost of Construction: $ 35,615.50
❑❑ — LneLK d u appry:
In
Piping _Shutters Windows/Doors
nklers 1:1 Generator Roof E2 Roof pitch
S Ft. of First Floor: 3,814
Utilities: Sewer 0 Septic
Building Height: 15
OWNER/LESSEE:
CONTRACTOR:
Name Marion McDowell
Name: Bryon Keith MoStoots
Address: 3965 Oak Hammock Lane
Company: PetersenDean Roofing& Solar Systems Inc.
City: Fort Pierce State: FL
Zip Code: 34981 Fax:
Phone No.407-257-7592
Address: 1011 Fairfield Drive
City: West Palm Beach State: FL
Zip Code: 33407 Fax: 561-881-0699
Phone No. 561-881-0660
E-Mail:-mac2332@hotmall.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: kismith@petersendean.com
State or County License: CCC1329081
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
MORTGAGE COMPANY:
Not Applicable
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Name:_
Address:1011 Faidield Ddve
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 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 vour Notice of Commencement.
Signature of CJ�yrdttur7ri&eFse Holder
Ignatur6 of Owner/ Lessee/Contracciorxa^Agen> or,Owner --
STATE OF FLORIDA /l
STATE OF FLORIDA /
COUNTY OF p9e-,y
_
COUNTY OF ;3" Tom/
The for o instrument was acknowledged before me
The forgoin nstryW�q1ent was acknowledged before me
by
this /�dayof J�e6n9.3cP .20L by
thisLQ yof.l. -&WdW 2Yff
Marion MC,Nu�e l
s
�iJame,o p ng si_aa�e�enji,
ame rso aking statement
Perso a lif y hno�OR'�Prodriced'ldentl (cation
ersonall K OR Produced Identification
Type of Identificatiop
Type o dentification
Produced s� /i L�� L
Produced
4iaz
(Signature of Notary u?,�C, t of Florbft WAGNER
(Signature of Notary Public
-State o rida )
;,i MYCOMMISSION RGG081027
Commission No. r• EXPI{2�.I�ril13,2021
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Commission No.
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;; EXPIRES: April 13, 2021
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Rev.8/2/17