HomeMy WebLinkAboutBUILDING PERMIT APPLICATION•Hit„~.-.-., _
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED,
Date-� 7J SCANNED Permit Number: go I "
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BY
In St. Lucie County RECEIVED
Building Permit Application JUL 0 3 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line II
PROPOSED IMPROVEMENT LOCATION:
Address: 5779 Deer Run Dr, Fort Pierce,FL 34951
Legal Description: GOLF LAKE VILLAS UNIT 3E (OR 2635-943)
Property Tax ID #: 1407-601-0029-000-6 Lot No.
Site Plan Name: P214 Block No.
Project Name: P214
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
Re -roof with Owen's Coming Duration Shingle 96 squares Fb-# /067L/— 72-0
N INFORMATION:
HVAC
Gas Tank
Gas Piping
u Shutters
❑
Windows/Doors
Electric
❑
Plumbing
[]Sprinklers
❑ Generator
Roof
F/12
Roof pitch
Total Sq. Ft of Construction: 9600
Cost of Construction: $ 42930.00
S Ft. of First Floor: _
Utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJoseph Davis
Name: Chris Dutruch
Address:5779 Deer Run Dr.
Company: My Affordalbe Roof
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 7722- 22 -0123
Address: 1585 Kennesaw or
City: Claremont State: FL
Zip Code: 34711 Fax:
Phone No. 772-206-3344
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Wendell@myafforableroof.com
State or County License: CCC1331305
If value of construction is $2500 or mare, a RECORDED Notice of Commencement is required.
A
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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
commencing work or recording vour Notice of Commencement.
Signature o��wner/ Lessee/Contractor as Agent for Owner
Signature of n or/4 se Hol r
FLORIDASTATE OF
�C4�
FLORIDA �L
COUNTYOFC
COUNTYOFs-ii.
The forgoi�r g instrum was acknowledged before me
The forgoin instrum t was acknowledge before me
thisZit3y of a 2(Y�by
this �/y'�of , 20 by
\7,l_S I D o )ny,\
lioL2,-fs Cil
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificatle
Type of Identification
Produced
Produced
taf�6oridR)
(Signature of No*=TARYPU"L"I
Commission No.OF FLi5R#tHA
(Signature of Nita Puf��tg&f��Rrida )
NOTARY PUBLIC /I
Commission s FLORIDASeal)
Comm# FF952012
Comm# FF952012
Expires 1J20I2020
tCEt910 Exoires 1/20/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17