HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: ` 4oLt
SCANNED
BY RECEIVED
St. Lucie County
APR O h 1019
Building Permit Application
Permitting Department
Planning and Development Services St. Lucie county
Building and
iaAve Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ✓/
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: roofing
PROPOSED IMPROVEMENT LOCATION:
Address: 228 easy st
Property Tax ID #: 3402-604-0048-000-5 Lot No.
Site Plan Name: Block No.
Project Name: reroof
DETAILED DESCRIPTION OF WORK:
reroof with 5vmetal lkh PIL Yviodthed oh rtvtA-aP"
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 3100
Cost of Construction: $ 16k
_Sprinklers _Generator
Sq. Ft. of First Floor:
dows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:16
OWNER/LESSEE:
CONTRACTOR:
Name Erik Hedal
Name: Harold Otto
Address:228 easy st
Company:Otto Built LLC
City: Ft Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Address:8931 SW Avocado Ln
City: Stuart State:A
Zip Code: 34997 Fax: 7726007028
Phone N0772-201-1908
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Harold@OttobuilOic.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 INPORMATION =' a
DESIGNER/ENGINEER: _
Name:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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.
no
e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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
WITH YOUR LENDE AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.'
Signature of Owner/ Lessee/Contractor as Agent for Owner
Sig of Cont r or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFst Lude
COUNTY OFStLuce
The fo ing instr nt was acknowledged efore me
thisday of 20 /j by
The forgoing instrument was acknowledged before me
this day of 20_ by
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Name of person making statement.
Name of person making statement.
—FZEEonall Kno OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced _
Produced ( ��
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Signayde of Nota ublic- State of Florida)
(Slgnature'orNotary Public- St e o F
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DATE
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DATE
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