HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLe i t0 FOR APPLICATION TO BE ACCEPTED
Date:--. '' I SCANNED Permit Number:
BY
-- s -+ St. Lucie County
• RECEIVED
Building Permit Application
Planning and Development Services AUG 0 6 2018
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 xxx
PERMIT APPLICATION FOR: Roof J
PROPOSED IMPROVEMENT LOCATION:
Address: 804 Shorewinds Drive, Ft. Pierce,FL 34949 " Al
Legal Description: CORAL COVE BEACH -SECTION ONE -
Property Tax ID #:
Site Plan Name: Reroof
1 THAT PART OF LOTS 18 AND 19 MPDAF: FR(
1425-701-0019-010-9
Project Name: Apartment B - reroof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: _
REROOF - Remove shinglestinstall 5 V crimp
Tribuilt Underlayment FL 16027 HT -SA
Integrety Metal FL 27150
Lot No.
Block No.
CONSTRUCTION- INFORMATION: III
HVAC L__� Gas Tank
Electric El Plumbing
Total Sq. Ft of Construction: 1054
Cost of Construction: $ 4000
Piping ❑_Shutters ❑Windows/Doors
nklers ❑ Generator R1 Roof F/ L Roof pitch
S Ft. of First Floor:
Utilities:Sewer❑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=940-665Y
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 $2500 or more, a RECORDED Notice of
is requirea.
'SUPPLEMENTAL.CONSTRUCTI ; LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: FL Beach & Golf Retreat ,LLC
MORTGAGE COMPANY: _ Not Applicable
Name: Ray Villanova
Add reSS804 Shorewinds Drive, Ft. Pierce,FL 34949
AddreSS: 7216Maidstone Dr.
City: Port St. We State:
Zip: Phone
City: Fr. PIERCE State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: 2908 OLEANDER BLy
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 TOC 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.
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Signati.fe of Owner/ Lessee/Contractor as Agent for Owner
Signatu a of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrum nt was acknowledged before me
this & day of AA. 20 �9 by
this (o day of� 20_Zff by
0 1L1AfJaVt&
wl�,gQ/ 64/l)IMcVa`-
Name of person raking statement
N e of pers n making statement
✓
Perso ally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
1
ol�
Produced
(Signature of Notary Pubo Florida)
(Signature of Notary Pu lic- State of Florida )
,,, «.Pa,qq,ue�ryry S.
Commission No. sBStete`dfglb S. NIELS.EN
Commission No. (Seal).
public
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Rev.8/2/17
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Juna tz 2022 Pires