HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: 1 Q -01
BY
St. Lude.County
--�- Building Permit Application a�EtuEo
Planning and Development Services MpV p 6 1019
Building and Code Regulation Division `tong Qepa�rt`er.t
2300 Virginia Avenue, Fort Pierce FL 34982.-
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Xx
PERMIT TYPE: RE -ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 803 Anita ST Fort Pierce, FL34982-4007
Property Tax ID #: 3403-332-0012-000-3
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
RE -ROOF REMOVE EXISTING ROOF AND INSTALL A NEW 5V METAL ROOF SYSTEM
PITCH 4/12 1500 SOFT
Lot No.
Block No.
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1500
Cost of Construction: $ 8,800
_ Generator
Sq. Ft. of First Floor:
-Windows/Doors
Roof 4/12 Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sunshine,& Enrique Mercado
Name: JOSEPH KOLINOSKI
Address:;803.Anita ST. :Fort Pierce, F134982-4007
Company: ONSHORE ROOFING•SPECIALISTS,,INC
City: `State:_
Zip Code . •., ..:, .. ., Fax:.
Phone No. 772-240-1854
Address:4401 SE;COMMERCEAVE;
City: STUART ,nu r ; ,;.' State: FL
Zip Code: 34996 "Oax772-283;.1557
:
Phone No 772-283-1505
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail INFO@ONSHOREROOFING.COM
State or County License CCC1328994
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.
rI .
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address: -
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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
"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 INSP ON —IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE —RECORDING YOUR NOTICE O ENCEMENT."
Signature o caner ContractorasAgent for Owner
Signature o n or/License Holder
STATE OF FLORI
STATE OF FLORIDA
COUNTY OF
COUNTYOF
_
T o ng instr wa cknowledg fore me.
thi day o 20 by
The for g instrun� ntwas acV owledge ,{!More mR
this`�n'ay of O y
(7�
Name of pers n ma mg state
Name of person king�state/m my
Personally Known OR Produced Identific 'er>'
Personall FOR duced Identification
Type of I
Produced
Type of Identification
Produced
(Signatur Nman'r��€SiSr€bMId9dP
y� Tdaha Neal Hutchinson
COmm15510 W , ' co N Islion GG teal)
empires /2021 1'=
�qP
(signature of r.,; . I ��^n
e . M:Y'�ummoslon OG 1�65a5
Commission .Nt ,, Ea='11Ydt/2=1 (Seal
PLANS
VEGETATION
SEATURTLE
MANGROVE
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19