HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI, —
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 1'Q ()C )" D
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 X
RECENED --ll
tiAR 108$019
Permitting u
St. Lude
PERMIT TYPE: FLAT ROOF REROOF SCANNED
BY
PROPOSED IMPROVEMENT LOCATION: - ' ° �'t- h'rt 6Inf
Address: 34t%ZiUNti1Jt tSLVU. rUHI t'Il=hL& t-L. 349t5"L
Property Tax ID #: 2428-702-0051-000-7 Lot No.10
Site Plan Name: SUNRISE HOMESITES Block No. 3
Project Name: BAKER
REROOF BACK PORCH IN APP GRANULAR
CONSTRUCTION'1NF0RMAT] 0N " - - • — - = =
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 300
Cost of Construction: $ 1500.00
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Building Height:
OWNER/LESSEE. - -;-:.
NameKATHLEEN BAKER
Name:.IOHN G. CANNON
Address:3488 SUNRISE BLVD
Company:JOHN G. CANNON
City: FORT PIERCE. FL State: _
Zip Code: 34982 Fax:
Phone No.
Address:7901 CITRUS PARK BLVD
City: FORT PIERCE State: FL
Zip Code: 34951 Fax: 772-4680272
Phone No 772-468-0202
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail JGCANNONROOF@ICLOUD.COM
State or County License CCC130664
It value of construction is SZSUD 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
, ._,P ,_ ....
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: _ _ Phone
State:
-- -
_City_
State__
Zip: Phone:
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 nd 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
as Agent for Owner U Sign*re of Contractor/License
STATE OF FLORIDA c� STATE OF FLORIDA c n 11
COUNTY OF ox�. A St COUNTY OF o L.z r ._a_
The f going instrument was acknowledged before me The f going instrument was acknowledge¢,before me
this T day of ,F)LQ A C . 20 by thi day of �y by
Name of persi
making statement. Name o p rson making statement.
Personally Known OR Produced Identification
Type of Identification
of
Commission No.
REVIEWS
COUNTER I REVIEW
CO
Personally Known _
Type of Identification
of
OR Produced Identification
EXPIRE%
PLANS
REVIEW I VEGETATIREVIEWON I SEA REVIEW I TURTLE
EVEWLE I MANGROVE
EVIEW