HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST[BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date 3 i �, SCANNED Permit Num
BY
St. Lucie County
Planning and Development
Building and Code Regulah
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
PERMITTYPE-ornr
Address: 14520 Orange P
Property Tax ID #: 2307-1
Site Plan Name:
Project Name: Colaizzi
Roof Replacement
Additional work to be F
_Mechanical
_ Electric
Total Sq. Ft of Construe
Cost of Construction: $
Building Permit
Division
rce FL 34982
x: (772) 462-1578 Commercial
acement
Fort Pierce, FL 34950
)001-000-7
�� � � � µ u .� a �•.
ion MAR 2 S 2019
Permitting Department
St. Lucie County, FL
Lot No.
Block No.
med under this permit —check all that apply:
Gas Tank _Gas Piping _Shutters —Windows/Doors
Plumbing _Sprinklers _Generator ZRoof 4/12
1,560 Sq. Ft. of First Floor. 1,440
Utilities: _Sewer _Septic Building Height:15'
Pitch
'•
:OWNER�
,_ ,. ,
'C x .t F 5 LESSEE ,.'
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NameAlfred D Colaizzi I
Name: Cameron Cooper
Address:14520 Orange Ave Fort Pierce, FL34950
Company:Camco Sales, Inc
City: Fort Pierce State: FL
Zip Code: 3495.0 I` Fax:
Phone No.
Address:12575 164th Ct N
City: Jupiter
Zip Code: 33478 Fax:
Phone No561-5104581
State:
E-Mail: C
Fill in fee simple Title Halrder on next page( if different
from the Owner listed above)
E-Mailcamcol9@bellsouth.net
State or County License=042804
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or snore, a RECORDED Notice of Commencement is required.
wSUPPLEMENTAL'GON"STRUCTION,LIEN°L'A,�
RMATION:"
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141
DESIGNER/ENGINEER: 1,
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address: I'
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address: I
Address:
City: I'
City:
Zip: Phone:
f
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.
no reptesentation that is granting a permit will authorize the permit holder to build the subject structure
any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
it with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the grantirg 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, swimmmg pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Yourfailure 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
STATE OF FLOMMI
COUNTY OF
The forgoing instrument w
this _day of
h
Name of person making sti
Persona Known
Type I e c ion
Prod ce
( ig Lure of Notary P
Commission No. !
REVIEWS FRONT
COUNTE
DATE
RECEIVED
DATE
COMPLETED
as Agent for Owner CI.SigWure of
acknowledged before me
.20_ by
Identification"
ExPREs
ZONING
REVIEW
STATE OF Ft
COUNTY OF
The forgoing instrument was acknowledged before me
this_% day of 20_ by
Name of person making stattment.
Type
FF949190 I Ulgffature of Notary
19, 2920
Commission No.
OR Produced Identification l
FlorFAAAK "1111LOTM
PAY � A FF949190
"Pt (kodbruary 19, 20M
SREVIEW R I REVIEW I VREVIEWON I SREV EWLE I MREVIEW