HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date: a a. Q Permit Number:
RECEIVED
- • _ - -- - Building Permit Applicatio i
FEB 2 7 2019
Planning and Development Services ST. Etiele eougtYf F,
Building and Code Regulation Division /
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: SCANNED,
PROPOSED IMPROVEMENT LOCATION: St. Lucie o nLy
A
Address: 490 sandia ave
Property Tax ID #: 3419-540-0213-000-0
Site Plan Name:
Project Name: reroof
DETAILED DESCRIPTION OF WORK:
reroofing material and replace with 5v metal ,
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 2300
Cost of Construction: $ 9500
Sq. Ft. of First Floor: 2300
Lot No.12
Block No. 49
V
_Windows/Doors
Roof G�21--Pitch
Utilities: _Sewer _Septic Building Height:12
OWNER/LESSEE;
CONTRACTOR:
Namearnold ellman
Name:harold otto
Address:490 sandia ave
Company: Otto built llc
City: PSL State: _
Zip Code: 34983 Fax:
Phone No.
Address:8931 sw avocado In
City: stuart State:fl
Zip Code: 34997 Fax: 772-600-7028
Phone N0772-201-1908
E-Mail:
-Fill in-feesimpleTitle-Holder on-next-page-(-if-different—
from the Owner listed above)
E-Maiham@ottobuildic.com
State or County License CCC 1327359
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
_City_ _ _ State:
Zip: Phone
City: State:
Zip. Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
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
-YARNING 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOU ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
ature of Owner/ Lessee/Contractor as Agent for Owner
SignatijoKof C ctor/License Holder
STATE OF FLORID
COUNTY OF �6/ �Q_
STATE OF FLORIDA
COUNTY OF Octy,
The fofp ng instru ' It acknowledgeyi�efore me
this day of 20 by
The f oing instrumeGnt was acknowledge me
this dayof o)— 20_ by
Name of person making statement.
Name of person making statement.
ersonally K ow OR Produced Identification
Type ordentification
Produced J�
Personally Known OR Produced Identification
Type of Identification
Produced >
(Signaturof Notary PublU State of Florida)
Commission No. � (Seal)
(Signature of Notary Public-
(; UFANNAMARIE GNFNS
Commission No.�d 1' 'y; MY Wm r1fi22B23
2020
iN
':'E'o:'r•O' BandedThnt Notary Public Undatwtiters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
_
COUNTER
_REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19
Notary Public Stec of Flmidlk
? Harold Ono
My commission GG 2175"
Exilires 0e12712022