HomeMy WebLinkAboutBUILDING PERMIT APPLICATION•A •
l
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ` `' \� Permit Number: 1. 9 0.1-0 1 I
:4ol�l�nr�•^N.9 .f
Building Permit Application FEB 1 9 P01�
Planning and Development Services ST. Lucie County, permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349R2
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxx
PERMIT APPLICATION FOR: Roof O u/iINNE®
Address: 3976 Oak Hammock Ln Fort Pierce, FL 34981
Legal Description: 29 35 40 S 197.1 FT OF W 221 FT OF SE 1/4 OF SW 1/4 OF NW 1/4 AND THAT PART OF
W 221 FT OF NE 1/4 OF NW 114 OF SW 1/4 LYG N OF TENMILE CREEK (2.52 AC) (OR 1024-193; 2782-1934; 3265-2136)
Property Tax ID p: 2429-234-0010-000-5 Lot No.
Site Plan Name: Connie Strawn Block No.
Project Name: Connie Strawn reroof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK r�° � �"' � �' � k�"`{
Remove and replace existing roof �e' q fnov 6 Wk1l1101'e refJ� OtP�tn�J U✓t�1 �ve
aV. .5'h injle oLISo f[o0c oleck
CONSTRUCTION INFORMATION:
MULIMUlldl WUlA LU UC
❑HVAC
CI IUI IIICU
Gas Tank
UIIUCI LlllJ i1C11111L—UICIAL Oil
❑Gas Piping
GPply.
_Shutters
❑Electric
❑Plumbing
❑Sprinklers
❑Generator
Total Sq. Ft of Construction: 5,A00 S Ft. of First Floor:
Cost of Construction: $ 32,944.30 Utilities:Sewer ❑ Septic
❑ Windows/Doors
Roof 1 Roof pitch
Building Height:
•GV
LTEE '`
-CONTRACTOR-
.
Name 1Q
Name: oon
Address: L�2'16.3 nQ)� Hnmr>-)E)r V Ln •
Company F
City: F� State:rl
Zip Code: 3 �19 R I Fax:
Phone No. cal • c� I it� • 119 11
Address: � ^ i levW
_
City: State:
Zip Code: `? HNA Fax: "' C(w- IrAl-cm
Phone No. ��n1-�h61-C`Y()Gp
E-Mail: 1U SM I ho m
hnnioa c4_ gnthot)_C-.OYY1
Fill in fee simple Title Hold- erpage ( if different
from the Owner listed above)
State or County License: I I
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
►.
y
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
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
commencin¢ work or recordine vour Notice of Commencement.
fig
Signature of Cont or/Lt older
STATE OF FLORIDAp
Sig'at[ire of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA,
COUNTY OF f�&_'n
COUNTY OFF �}Z�Y1
The for strument w
this�dayof
knowledge fore me
.20� by
The fo 4nstrumen acknowI dgedoefore me
this• day of 20L�fby
i6Pit%AIJde:
j
lip✓ !77
Name of person making statement /
N me of pe o aking statement
1ZOR
Personally Known OR
Produced Identification t/
Personally Known Produced Identification
Type of Ide ficatio
Type of Identification
Produced 9 1
Produced
(Signature of Notary Pu is-,
on a ETH WAGNER
(Signature of Notary Pu ' -State of Florida
'�°•'"
Commission No. - °
MY SSION # GG 021027
m. ° ?�
'o`; S: April 13, 2021
'w'• BETH WAGNER
" +•..z•• Q�'
mmission No. ° lf$'tT'f)cOMMISSION#GG
%;;o2F
�g"•••' Bonded Thm Notary Pubk Undeiweters
1 :, EXPIRES: April 13,2
'F'o>otCo• Bonded Thm Notary Pubrw UN
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW.
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
a `'41 .S31. '&'o -&9t