HomeMy WebLinkAboutBUILDING PERMIT APPLICATION104 7-3-2 0a 11��
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6uANNED Permit Number: (0�
BY
--)t ILLIC10 GOIJOY
Building Permit Application A n1n
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
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Dapartment
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Residential X
I PERMIT APPLICATION FOR: Roof I
Address: 8208 LAKELAND BLVD, FORT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK UNIT 8
Property Tax ID#: 1301-608-0005-000-8
Site Plan Name:
Project Name: JEANETTE POHL
Setbacks Front Back:
DETAILED DESCRIPTION OF WO
Right Side: Left Side:
RE ROOF 5 SQUARE OF LOE SLOPE ROOF
FL569-kt?
Lot No. 5
Block No. 87
C
,�RUCTION INFORMATION:
al worKtODenerrormed under this'pENn— cneCK all apply:
IIHVA'i M Gas Tank E]Gas Piping Shutters E]Windows/Doors
0 Electric El Plumbing []Sprinklers ElGenerator Z Roof Roof pitch
Total Sq. Ft of Construction: 484 S Ft of First Floor: 484
Cost of Construction: $ 1500 Utilities: Sewer E]Septic Building Height: 10'
OWNERAESSEE:
'CONTRACTOR:
Name JEANETTE POHL
Name: RAQUELSWANNER
Address: 8208 LAKELAND BLVD
Company: THE HOME DEPOT
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-882-4175
Address: 6500 NW 12TH AVE #110
City: FT LAUDERDALE State: FL
2ip Code: 33309 Fax: 407-469-3499
Phone No. 407-469-5599
E-Mail:
Fill in feesimpleTitle Holder on next page (if different
from the Owner listed above)
E-Mail: richie.roberts@expeditepermit.com
State or County License: CCC1331113
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
City:
zip:.
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: —
Phone:
rNIVII/All 1UN.
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
—Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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
commencinR work or_recorclin2mQtu�Notice of Commencement.
)ntractor as ARei
STAYE-OF FLORIDA
COUNTY OF M- LQe�-e_
The ing instrument was acknowledged before me
this&dayof 20 1_�Lby
-Q%J-e_ L
(Sign-ature of Notar�F"Public- State of Florida )
Personally Known ��®R Produced Identification
Type of Identification Produced
Robert'
Commission No. e TARY PUi:"'C
STATE OF rLOR;DA
'orm!"
Revised 07/15/2014 1 W41 CExpires, 6/4020
s,rATE OF FLORIDA
COUNTY OF _57- It U e I -e,
The forgoing instrument was acknowledged before me
this 73CJ day ofAfR t � 20 La._ by
�J':Z Q—& L S.0 0 N N
(Namp�o I'pers ack9evvtu*ng )
(Signature of Notary Public- State of Florida )
Personally Known L_ OR �Producecl Identification
Type of Identification Produced
Commission No. We Roberts
NOTARY PUBLIC
teSTATEOFFLORI
Expires 6/412020
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