HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �—
Date: V Permit Number:
RECEIVE®
•
Building Permit Application OCT 2 8 2015
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 LOCATION:
Address: 6806 Paso Robles Blvd, Fort Pierce, FL 34951
Legal Description: Lakewood Par-Unit 9-131k 115 Lot 1
Property Tax l D#: 1301-611-0298-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing eape4 and replace with new shingles :f<Z
CONSTRUCTION INFORMATION:
Additional work to be performed under t ispermit—check all appy:
❑HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑_Plumbing []Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: 0%yt O S . Ft. of First Floor:
Cost of Construction:$ ,$Oy Utilities:cnSewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Nicholas Perfetto Name: Christopher A Long
Address:6806 Paso Robles Blvd Company: The Roof Authority, LLC
City: Fort Pierce State:FL Address: 6771 N. Old Dixie Hwy
Zip Code: 34951 Fax: City: Fort Pierce State.FL
Phone No.772-708-4358 Zip Code: 34946 Fax: 772-468-2247
E-Mail: Phone No. 772-468-7870
Fill in fee simple Title Holder on next page(if different E-Mail: tra1993@gmail.com
from the Owner listed above) State or County License: CC C056933
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 re_cQrding your Notice of Commencement.
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_Signature of Owner ess (/Agent Signature of ontrfor i n Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF S+ LwcS.Q COUNTY OF S.1� yc i c
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of 20 LYby this Ilay of C)c,�c-_ 20 1)'by
Pe 404P}^4v Lo-vn
(Name of person acknowledging) (Name of person ac nowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification X Personally Known P OR Produced Identification
Type of Identific&S2TAITE
�•8t7[f�N Type of Identification P ed
ARY PUBLIC NOTARY P�
Commission No. OF FkQ"A Commission No. TATE OF DA
FF104511 Con#FF104S11
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS