HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLca 2J FOR APPLICATION TO BE ACCEPTED
Date: '4'' U • 9 SCANNED Permit Number: - O
_ _ BY
' �'= "' St. Lucie County RECEIVED
Building Permit Application AUG 0 6 Z018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 349B2
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Xi Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: I
Address: 804 Shorewinds Drive, Ft. Pierce,FL 34949(,Apt A t,
Legal Description: CORAL COVE BEACH -SECTION ONE- BLK 1 THAT PART OF LOTS 18 AND 19 MPDAF: FR(
Property Tax ID #: 1425-701-0019-000-6
Site Plan Name: Reroof
Project Name: Apartment A
Setbacks Front Back: Right Side:
Left Side:
I DETAILED DESCRIPTION OF WORK: ° .
REROOF - Remove shingles install 5 V crimp
Tribuilt Underlayment FL 16027 HT -SA
Integrety Metal FL 27150
�1a Pi><C14
Lot No.
Block No.
CONSTRUCTION INFORMATION:
rtiona worKtollenertormed under tIspermit—check all apply:
❑HW Gas Tank ❑Gas Piping _ Shutters ❑Windows/Doors
❑ Electric ❑ Plumbing []Sprinklers ❑ Generator Ri Roof I Yt 1t Roof pitch
Total Sq. Ft of Construction: 1054
Cost of Construction: $ 4000
S Ft. of First Floor: _
Utilities:ll Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name FL Beach & Golf Retreat ,LLC
Name: Ray Viilanova
Address:7216 Maidstone Dr.
Company: 'VILLANOVA CONSTRUTION INC.
City: Port St. LuiqtZ 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 $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI • IEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: FL Beach & Golf Retreat,LLC
MORTGAGE COMPANY: _ Not Applicable
Name: Ray Villanova
Address: 804 sh°rewlnas DOM, Ft Pie=,FL 34949 Apt A
Address' 7216 Maidstone Dr.
City: Port it. Luie State:
Zip: Phone
City: FT. PIERCE State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:2908 OLEANDER BLV
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 our Notice of Commencement.
Signaturgof Contractor/License Holder
Signat Owner/ Lessee/Contractor Agent for Owner
re of as
STATE OF FLORIDA
STATE OF FLORIDA
./t
COUNTY OF Lir'Ife,
COUNTY OF LUC IEJ
The forgoing instr ment was acknowledge before me
The forgoing instr en was acknowledg# before me
this —La day of T 20 Iby
this —ta_ day of 2 by
��yvt&mA�,I )tsoM4-
,ITVM aI I i k0 0o4-
ame of person mbking statement
Narfie of perso making statement
Personally Known ��OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary
(Signature of No Public -State of Florida )
�`"':"" KAREN S. NIELSEN
S:°��40`f:State of Notar Public
_ rP9 y
Commission No.
o`""'
Commission No. . ' �;" KAREN S.
;� Commissio-n it GG 207484
".�N°, ��, .' My Commission Expires
'
g ateNorioa L E biic
40 ' Corn Notary Pu
"�"'n°,'a,�`�` n #
���" June 12, 2022
I`r1Y Com GG 207484
in' 12, 2022
Tres
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DATE
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Rev. 8/2/17