HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SC Permit Number:
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: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
ANNED
BY
St. Lucie County EnSEP
WO
Building Permit Applicati2019 Permitting
Commercial Residential X
Address: 6501 Palomar Parkway; Lakewood Park, FL
Property Tax ID #: 1301-615-0118-000-5 Lot No.9
Site Plan Name: Block No. 173
Project Name: Toraman Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -Roof; going from Shingles to metal roof. Undedayment is peel & Stick (FL16048-R6); Metal (FL14645.11-R3)
CONSTRUCTION INFORMATIONS
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Electric —Plumbing _ Sprinklers _ Generator _ Roof 6:12 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 12,000.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gholamreza Torkaman
Name: John L. George
Address:470 12th PI SE
Company: George & Associates Contractors, Inc.
City: Vero Beach State: _
Zip Code: 32962 Fax:
Phone No. (772) 501-5365
Address:130 S. Indian River Drive
City: Ft. Pierce State: FL
Zip Code: 34950 Fax:
Phone No (772)834-7001
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail georgeconstruction3@gmail.com
State or County License��
CZE I
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
POS ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WFfH TOUR LENDER OR AN ATTORNEY BEFORE RECORDIN R NOTICE OF COMMENCEMENT."
Sign Pe of Owner/ Lessee, ntractor as Agent for Owner
Sign- ure of Contractor ense Holder
STATE OF FLORIgA
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STATE OF FLORIDAr
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COUNTY OF T L 1/G r
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The forggoing instrumentw s acknowledged before me
this 'Z May of 64 � / 126by
The fq oing instru ent as acknowledged before me
this G day of �/7� . 20O by
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Name of person mak'fAg statem nt.
Name of person making statiment.
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Type of IdeJP�tiffFation_Z �
Personally Known Q(t Produced Identification
Type of Idet�tific tion 1/ �h
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