HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLcttJ FOR APPLICATION TO BE ACCEPTED ' O I ��
Date: D �Q ' I g Permit Number:
SCANNED
BY
• ,t. Lucie County RECEIVED
Building Permit Application AUG 0 6 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 /` Residential
PERMIT APPLICATION FOR: Roof
PROPOSED;IM
Address: 804 Shorewinds Drive, Ft. Pierce,FL 3494E
Legal Description: CORAL COVE BEACH -SECTION ONE- BLK 1 THAT PART OF LOTS 18 AND 19 MPDAF: FRI
Property Tax ID #: 1425-701-0019-020-2
Site Plan Name: Reroof
Project Name: Apartment C
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF -WORK:
REROOF - Remove shingles install 5 V crimp
Tribuilt Underlayment FL 16027 HT -SA
Integrety Metal FL 27150
CONSTRUCTION -INFORMATION:
11HVAC LJGasTank
11Electric ElPlumbing
Total Sq. Ft of Construction: 1054
Cost of Construction: $ 4000
Lot No.
Block No.
Left Side:
Piping Li ❑Windows/Doors
nklers 0 Generator R] Roof y/ Roof pitch
S Ft. of First Floor: _
Utilities:] Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameFL Beach &Golf Retreat,LLC
Name: Ray Villanova
Address:7216 Maidstone Dr.
Company: 'VILLANOVA CONSTRUTION INC.
City: Port St. Luie State:FL
Zip Code: 34986 Fax:
Phone No.
Address: 2908 OLEANDER BLV
City: FT. PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772=940-665//
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: rayvillan@aol.com
State or County License: CCC 1327240
If value of construction is $2S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIdNIIEN LAW INFORMATION:'
Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name: FL Beach & Golf Retreat,LLC Name: Ray Villanova
Address: a645hwerMds Ddve, FL Ple,m,FL 34949 Apt C Address: 7216 Maidstone Dr.
City: Port St. We State: City: FT. PIERCE State:
Zip: Phone Zip: Phone:
SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:2908 OLEANDER BLV
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 Counter 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
commencingwork or recordIn our Notice of Commencement.
Signat�of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
this (o day of 20_Z by
The forgoing instrument was acknowledged before me
this fday of�� 0zeby
1
• �/ ✓d5-
Name of person making statement
Na a of person making statement
✓
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
AA
(Signature of Notary Public- State of Florida I
(Signature of Notary Pu ic- State of Florida
Commission ;o+"""e,• KAREN S. N16S N
°se et Florida-NdraT19' ublic
Commission No. o•:'� <.•
•` Commission 4 GG 207484
?eli;,�?� My Commission Expires
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Rev. 8/2/17