HomeMy WebLinkAboutBUILDING PERMIT APPLICATION01
ALL APPLICABLE INFO MUST BE
Date: 6-6-2016
® y�
D FOR APPLICATION TO BE ACCEPTED �f
SCANNED Permit Number: J
BY
St. Lucie County
Building Permit Application
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 xxxx
RECEIVED
JUN / 6 2016
Residential xxxx
PERMIT APPLICATION FOR: Roof ❑ II
PROPOSED IMPROVEMENT LOCATION:
Address: 6 Lake Vista Trail, Port St Lucie 34952
Legal Description: Vista St Lucie Bldg 6 - Units 101 - 107 and 201 - 207 (14 units total)
Property Tax ID #: 3422-500-0071-00( thru 3422-500-0084-000
Site Plan Name: Vista St Lucie 30A Lake Vista Trail
Project Name: Vista St Lucie Bldg 6
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: '
Lot No.
Block No.
Remove shingle roof system to substrate, renail decking to code, install 30# nailed to code, install
IKO Cambridge Architectural Shingles to code using 6 nails per shingle 4//&5�k
CONSTRUCTION INFORMATION:
LJHVAC "Gas Tank
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction: 11000
Cost of Construction: $ 42,000
inis
[]Gas
permit —cnecK all
Piping
apply:
_Shutters ❑
❑ Generator g
Windows/Doors
Roof
❑Sprinklers
S Ft. of First Floor: _
Utilities: Sewer ❑Septic
Building Height: 24'
OWNER/LESSEE:
CONTRACTOR:
Name Vista St Lucie Association
Name: Jesus Vasquez, Jr
Address:30A Lake Vista Trl
Company: All AMerican Roofing & Coagting of FL
City: Port St Lucie State:FL
.Zip Code: 34952 Fax:772-878-7428
Phone No.772-878-6632
Address: 2504 SE Willoughby Blvd
City: Stuart State: FL
Zip Code: 34994 Fax: 772-781-4408
Phone No. 772-781-4410
E-Mail: vistastluci@comcast.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: allamericanroof@att.net
State or County License: CCC1329384
V0JUC U1 wnslrucaon is >couu or more, a KecuKueu Notice of commencement is required.
n
N:
Not
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY:
Name: _
Address:
City: _
Zip:
Phone:
BONDING COMPANY:
Name: _
Address:
Zip: Phone:
C,Not Applicable
Not Applicable
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
commencing work or recording vour Notice of Commencement.
_ Signature of Owner/ Lessee/Art
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 20 _by
i
(Name of person acknowledging )
4 011,RAGn 19 onn. s
Signature of Contletorlcenlik Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this 4Aday of. Lz2e 20%by
JESUS VASQUEZ, JR
(Name of person acknowledging )
(Signature of Notary Public -State of Florida) (Signature of Notary. Public -State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
C NA M PITTMAN
Commission No. (Seal) Commission No. FF036282 5` /Se
MY MMISSION #FF036
z .'.
v%�rfpp' ,TX EXPIRES July 15, 2017
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
MORTGAGE COMPANY: �C Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY:
Name: _
Address:
Zip: Phone: I 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 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
commencing work or recording your Notice of Commencement.
1
_ Signature af Ow / L e Agent
STATE OF FLORIDA
COUNTY OF via ctbYl
The f rgoing instru tt was acknowledged before me
thisjo
lI L day
s� of
20/by
VBItSi/Q �'4'Cc�Li c Jfr
(Name of person ac owledging )
(Signature of Notary Public- State of
Personally Known V. OR Produced Identification
Type of Identification Produced
_ \ 0ALtAA RxQ,, P.v\1 s
Signature oftontk3 torlicen� Nolder
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this-6#day of. Lne 20 16 by
JESUS VASQUEZ. JR
(Name of person
(Signature
Personally Known
Type of Identificat
Commission No. 81 M PITTMAN
I IF
MY �ISSION #FF036282 Comm155100 NO.
EXPIRES July 15, 2017
Revised 07/15/2014
Public- State of Florida )
OR Produced Identification
A M PITTMAN
(SYC MMISSION #FF036,
m EXPIRES July 15, 2017
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS