HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE
�INFO
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0.A) l� SCANNE®Permit Number:�C-
-a BY�a
St. Lucie County RECEIVED
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: RerOOf
PROPOSED INPROVEMENT LOCATION:
MAY 2 � 1019
Building Permit AppliCatlOnerMAY 20ng 2019 Department
St. Lucie County
Address: 10701 S Ocean Dr Lot 728 Jensen Beach
Property Tax ID fi: 4511-805-0129-000-2
Site Plan Name:
Project Name: Fugazzotto House
DETAILEDgDESCRIPTION`OF WORK:
Commercial Residential x
Remove existing shingle roof and install new metal roof
Lot No. 728
Block No.
CONSTRUCTION INFORMATION: s
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 1133
Cost of Construction- $ 8400
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: 1133
Utilities: _Sewer _Septic
-Windows/Doors
Roof 3/12 Pitch
Building Height: 8'
OWNER/LESSEE:
CONTRACTOR:
Name Barbara Fugazzotto
Name: Jamie Cisco
Address:10701 S Ocean Or Lot 728
Company: Sunshine Roofing LLC
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No.772-229-2899
Address: PO Box 1083
City: Palm City State: FL
Zip Code: 34991 Fax:
Phone No 772-260-8195
E-Mail: fugazzottobjfla@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail sunshineroofingllc@gmail.com
State or County License CCC1327796
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 INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin¢ work or recordine vour Notice of Commencement.
N&dL4M 4
Signature Owner/ LesseeKoWa&or Agent for Owner
Signature of Contractor/License Holder
of as
STATE OF FLORIDA
STATE OF FLOR A
COUNTY OF b� 10CI t,
COUNTY OF Lu6 �
The forgoing instr�J�e�n�t was knowledge before me
The fQr�oing instrument was acknowled d before me
thi day of f. Vt�ll-)�ut ,2011 by
this—dayof�2� by
r r� I:UO 0'Z2
Jamie Cisco
Name of person making stat bment.
Name of person making statement.
Personally Known OR Produced Identification ��
Personally Known = OR Produced Identification
Type of IdenVF`iification
Type of Identification
Produced DLrm
Produced
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Rev.9/26/18