HomeMy WebLinkAboutBuilding Permit Application 8186534
ALL APPLICAPILE INFO IST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date , r/l J , Permit Number: (wf,
4 1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300.Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: _Roof
PROPOSED IMPROVEMENT LO
Address: 3408 Avenue S Fort Pierce, FL 34947
Legal Description: SUNLAND GARDENS BLK 4 LOT 11 (0.19 AC) (OR 3688-2367)
Property Tax ID#: 2405-601-0075-000-0 Lot No.11 -
Site Plan Name: Block No. 4
Project Name: Bond,#8186534
Setbacks Front Back: Right Side: Left Side:
DETAILED"DESCRIPTION,OF WORK
Re-roof 14 squares of asphalt shingles
CONSTRUCTION�INFORNtATION.
,.
Additionalwork to e er orme under this permit—check a at appy:
Gas Piping❑HVAC be
❑ 0 Shutters Windows/Doors
❑
Electric ❑_PlumbingSprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 5,327.00 Utilities: Sewer Septic Building Height:
OWNER/LESS"EE CONTRACTOR::
Name Mark Bond Name: Quinn Roberts
Address:3408 Avenue S Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34947 Fax: City: Deerfield Beach State:FL
Phone No.(561)685-5880 Zip Code: 33442 Fax: '�CJ� �ttC�� VT►
E-Mail: Phone No. (954)379- 1500
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CCC058327
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU-PPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION.:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 financin with lender or an attorney before
commencingwork or recordingour Notice of Commen ement.
Signature of Owne /Agent/Lessee SignatuV.ef Contractor/License Holder
FLORIDASTATEOF / - � STATE FLORIDA
COUNTY OF (�L COUNOF
The forgping instrungent w s acknowledged before me The forgoing instrurgent w s acknowledged before me
this day of 20 15 by t day of !1 20 15 by
Quinn Roberts 1 Quinn Roberts
(Name of person ck owledging) (Na7ofacknowledgin
(Signature o P blic-St to of orida) (Si re f Nlotary P MY Krae of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
(Sea mission No. 012 AMBER(�Q1KER
Commission No.
AMBER FLE kk�
NOTARY PU IC 4 NOTARY PUBLIC
DA
Revised 07/15/2014Comm#EE215692 Comm#EE215692
W.-WEI-le Expires 7/11/2016 El Expires 7/11/2016
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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