HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/29/18 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential xx
RECEIVED
JAN if 2019
permitting Department
St. Woe County
PERMIT APPLICATION FOR: Roof 0%+1AVIVftu
PROPOSED IMPROVEMENT LOCATION: 5t. Lucie Cou*
Address: 8602 Santa Clara Blvd
Legal Description: Lakewood Park Unit BB Block 2 Lot 12
Property Tax ID #: 1301-610-0027-000-5
Site Plan Name:
Project Name: Silva Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Reroof: Pitch roof and flat roof YV c r'k YvW Z 6 V Yk e0q r
CONSTRUCTION INFORMATION:
roneI
Lot No.
Block No.
HUW LIUIIG I WVIK LU UC CI IV[InMU U I IUCI LI I D PCI I I III—OIIUtIk 611 L1IdL CIPPLY.
11 _Gas Tank ❑Gas Piping I _Shutters Windows/Doors
11 Electric 1:1Plumbing Sprinklers 11 Generator Roof 4/12 ' Roof pitch
Total Sq. Ft of Construction: 2,350 Sct. of First Floor: 2,350
Cost of Construction: $ 15,000 Utilitie"s:n Sewer El Septic Building Height: 12'
OWNER/LESSEE: Steven & Cheryl Silva
CONTRACTOR: Modem Construction_ Experts
Name Steven & Cheryl Silva
Name: i-oiix-lrF +JilivA Or.
Company:, Mc&Qrn �c7n5drucYkly e_Kl fts I -Lc
Addressss: C•1 W_
City: 'l)7\.�.t�Xt�r� State: FL
Zip Code:.347ACC Fax:
Phone No. • lj« • iS
E-Mail:�—
State or County License k3e) Oae��
Address:8602 Santa Clara Blvd
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIENLAW INFORMATION:
DESIGNER/ENGINEER: Not Appli a MORTGAGE COMPANY: of licable
Name:_ Name
Addresses Address: --
City: F State: City: Stuart State:
Zip: Phone Zip: Phon
FEE SIMPLE TITLE LDER: _ Not Applicable BONDING CO NY: _Not Applicable
Name: Name:
City
ne:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby ifiade 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 Countv 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 recordine vour Notice of Commencement.
Signature of Owner/ Lessee/r'nnrractor as Agent for Owner
'Signature of Contractor/Licens^ a _Holder
STATE OF FLO ID
COUNTY OF
STATE OF FLORIDA
COUNTY OF VaAC l
The forgoing instru entwasacknowledge before me
s day of 20j_by
The forgoinginstr4m_entwasacknowledgefjbefore me
this day of ]L 20 by
rson making statement
rson making statement
Personally Known OR Produced Identification
ersonally Known OR Produced Identification
e_ofJde ion
Type o entification
Produced
:;q - i I � e, c:::s
Produced
�� M'&
(Signatu a of Nota ublic- State of Florida)
(Signature of Notary Pu lic-State of Florida )
tk' JNOVANNA ON g
�1
ISSION # FF221909
JCommission
Commission "ki%HOVANNA NOURmN g
MY COMMISSION# FP221909
a EXPIRES April 19. 2019
IN
MR -,'F
��„ EXPIRES April 19. 2019
Noary9oviro.
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Rev. 8/2/17