HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:_ ISLE"C".0.3.
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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 xx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED LMPROVEMA"NT LOCATION
Address: Margaret R Nuccio 6607 Donlon Rd Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 11-BILK 137 LOT 19(MAP 13/12N)(OR 382-1599
Property Tax ID#: 1301-613-0019-000-5 Lot No.
Site Plan Name: Margaret R Nuccio Block No.
Project Name: Margaret R Nuccio
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF 1NORK
Tear off existing shingle roof and reinstall peel and stick and Asphalt shingles
F110674-r10 Owens Corning
F119606R1 Tri Built P&S
CONSTRUCTION INFORNIAT10 r
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Additional work toe e orme under this permit-cher a appy:
HVAC 11 Gas Tank F]Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3500 S . Ft.of First Floor: 2500
Cost of Construction:$ 12540.00 UtilitiesSewer Septic Building Height:
OIIVNER/LESSEE CONTRACTOR L
Name Margaret Nuccio Name:
Address:6607 Donlon Company: Richie the Roofer
City: Ft. Pierce FI State:FIL Address: 8004 Georges Rd
Zip Code: Fax: City: Ft. Pierce State:FL
Phone No.216-3449 Zip Code: 34951 Fax:
E-Mail: Phone No. 772-473-6197
Fill in fee simple Title Holder on next page(if different E-Mail:
from the owner listed above) State or County License: 2 0-S0f
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION ry
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 financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _by this day of 20 by
1
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
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