HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �v I '� Permit Number: I l (3S— 019
,c;HNNED
COUNTY_ l,llrj@ countyRECEIVED
NIIIIIIIIII-- Building Permit ApplicationmAl 071015
Planning and Development Services pe artment
Building and Code Regulation Division Per St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYPE: Re -roof shingle
PROPOSED IMPROVEMENT LOCATION:
Address: 3040 W Midway Road Ft. Pierce, FL 34981
Property Tax ID #: 3405-133-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name: FL 1791 Midway Road Church of Christ
DETAILED DESCRIPTION OF WORK: 1111 Jill
Tamko shingle re -roof of duplex
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof s Pitch
Total Sq. Ft of Construction: ,5 a,5 3 Sq. Ft. of First Floor: �
Cost of Construction: $ 31,700.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Midway Road Church of Christ
Name: Francis Buchanan
Address: 3040 W Midway Road
Company: Buchanan Services, LLC
City: Ft. Pierce State:_
Address:1111 SE Federal Hwy Suite 124
Zip Code:34981 Fax:
City: Stuart State: FL
Phone No. 772-461-8147
Zip Code: 34994 Fax: 772-324-8090
E-Mail:
Phone No 800-379-0122
Fill in fee simple Title Holder on next page (if different
E-Mail accounting@pdrhelps.com
State or County License CCC056685
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTrALrmn T__ 111HQNNAWNINAORMATIONRM
DESIGNER/ENGINEER: x_ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NnTICF nF cnmMFNCFMFtur 11
Signature of Owner/ Lessee/GonYractoras'Age ntffi_rOwner
ighature oLContractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledg�efore me
this 22 day of April 26 E by
this 22 day of April 20 b Y
Francis Buchanan/Contractor as Agent for Owner
Francis Buchanan
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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