HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �4i•� ��� Permit Number:
'- ------ -- = RECEIVED
Building Permit Application
Planning and Development Services JUN.. . 5 2015
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 yes
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRQPOSED'IMRROVEMENT LOCATION
Address: 138 VINDALE AVE.
Legal Description: BEL-AIRE ESTATES BLK 2 LOT 20
Property Tax ID#: 1312-701-0025-000-7 Lot No.
Site Plan Name: 138 VINDALE AVE Block No.
Project Name: ELIZEL HERNANDEZ
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
TEAR OFF OLD SHINGLE ROOF AND INTALL NEW 5V-METAL a
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CONSTRUCTION IN.E,ORMgTfON r "
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Additional work toe nertormed under! is rermit—check a appy:
HVAC 0 Gas Tank as Piping _Shutters Windows/Doors
OElectric El Plumbing Sprinklers 0Generator �✓ Roof
Total Sq. Ft of Construction S . Ft. of First Floor:
Cost of Construction: $ b � 00 Utilities:Sewer[]Septic Building Height: 8
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t
OWNER/LESSEE r s `CONTRACTOR
Name Name:
Address: 138 VINDALE AVE Company:
City: F State:_ Address: 1901 UITHU8 PAHK BLVD.
Zip Code: 34951- Fax: City: FORT PIEHUE State: FL
Phone No.468-0202 Zip Code: 34951 Fax: T7Z-468-0=
E-Mail: Phone No.
Fill in fee simple Title Holder on next page( if different E-Mail: jgcannonroof OU .Com
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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N[FORIVIA-FfU
SUPPLEMENTAL, CON Q
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: )r_A4 X VA,&mgZ1,;�_ Name:
A d d r e s A.I u_':�� U_� Address:
City: State: City: State:
Zip:34Y_5o Phone: q�' _ Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: X 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 financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
—
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SQ01re of Owner/Lessee/Agent Si ractor/License Holder
STATE OF FLORP
E OF FLORIDA
COUNTY OF. COUNTY OF Nj�
The for instrumentoingwas acknowledged before
this day of 20/ b
The forgoing instryacknowledged be r!On.
forgoing was
day of. -z—, 20/
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Sig
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(Name of person acknowledging) a- -n=
(Name of person acknowledging
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(Signature of N'Otary Public-Stateof Florid0l (Signature of N06ry Pubic-State of Floridd)
Personally Known OR Produced Identification Personally Known '__�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS