HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMF D FOR APPLICATION TO BE ACCEPTED f -� �g
Date: SCANIVIz Permit Number: 1�
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMITTYPE: ROOF
PROPOSED IMPROVEMENT LOCATION:
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St. Lucie County 100 CPo
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Building Permit Application @CO`'�e't
Commercial Residential X
Address: 7508 LAGUNA RD FORT PIERCE FL. 34951
Prooertv Tax ID #: 1301-601-0024-000-6
Site Plan Name: LAKEWOOD PARK UNIT 1 BLK 2 LOT4 AND 5
Proiect Name: DEBORAN L. DUTTON
DETAILED DESCRIPTION OF WORK:
REPLACE FLAT ROOF ON BACK OF HOUSE
Lot No. 4
Block No. 2
CONSTRUCTION-':INFORMATIONa
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: 500
Cost of Construction: $ 2400.00
_Sprinklers _Generator
Sq. Ft. of First Floor:
Windows/Doors
j7Roof Pitch
�C
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE-CONTRACTOR:
Name DEBORAH DUTTON
Name: JOHN G CANNON
Address: 7508 LAGUNA RD
Company: JOHN G CANNON
City: FORT PIERCE State: A—f
Zip Code: 34951 Fax:
Phone No:
Address: 7901 CITRUS PARK BLVD
City: FORT PIERCE State:
Zip Code: 34951 Fax: 7724680272
Phone No 7724680202
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 QQ
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 CONSTRUCtjjLIEN
LAW INFORMATION:
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:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ L ssee/Contractor Agent o Owner
Qi n re of Contractor/License Holder
STATE OF FLOR DL
STATE OF FLORIDA (� /
COUNTY OF
COUNTY OF V L �( /
The f qq��g instru as acknowledge before re me
this Ida 20by
The for of instrument as acknowledgeebefore me
20yab
of� —,
this a of
Name of perso a Ingstatement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification�L 1JJL
Produced // _
Type of Identificatio
Produced
ELLEN VAUGHN
;� ,,;State of Florida -Notary Public
(Signa
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(Signature of Nota pate QQ##�Is
r�Y' i Expires
e • Commission # GG 270079
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,?,,..... 22,
�11^`• October 22, 2022
October
Commi
P7` My Commission Expir
i0yq ,. 2022 (tea
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19