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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a 15 Permit Number: y5 1 RECEIVED NOV 12 2015 s Building Permit Application pia nnnnnng or>rd to artsarrokes 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 344 Tropical Isles Cir#H-12 Fork Piens,FL_34982 Legal Description:Tropica0 Islas(or 278&'-2163)Choat I-I-12(or 2904-953) Property Tax ID#: 3410-508-0192-000-9 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Remove existing shingle roof and install new 30 year architectural roof. CONSTRUCTION'INFOR A-FION: Addlitional work to be nertormedunder is persmt-check allt appy: ❑HVAC (gas Tank []�as IPiip9nz Shu tem �Wondrous/loo¢s Electric ❑ Plumbing ❑Sprinklers MGenerator FV-] Roof Total Sq. Ft of Construction: 2432 Sq. Ft. of First Floor: Cost of Construction:$ 7.900-00 Utilities: Sewer❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name David and Doris Collins Name: Ron Lam Address:344 Tropical Isles Cir#FI-12 Company-:Tmasura Coast Concepts Inc- City: Fort Pierce State:FL Address: 3458 SW Pluto St Zip Code: 34982 Fax: City: Port Saint Lucie, State:FL Phone No. '71jL- x(07 - Q&5 Zip Code: 34%23 Fax:772-3135.4910 E-Mail: Phone No. 772-777-8130 Fill in fee simple Title Holder on next page(if different E-Mail: tcconcepts@aol.com from the Owner listed above) State or County License: CCC1330362 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRq.UCnON LIEN LAW INFORMATRO : DESIGNERIENGINEER: Not App1'icable MOKrGAGE COMPANY: Not Applicable Name: Name: /address- Addttess: City: State: Cly: State: Zap: Phone: Zip: Phone: Z--SIMPLE �OLDER: Not Applicable BONDING MP Not AppB'icable me: Name: Address: Address: Cum: Car I Zip: Phone: Trlp: Phone: s I certify that no work or installation leas commenced prior to the issuance of a pemmr t St.Lucie Coauni<yv n makes o irepn inn that is�noibrrrg a mutt quill awnthariize hilae�pennit holdeEr to build thesubject structure .urdm iic hi is inInca adith ani app caUle Home EMm errs �Effbm mudl� byrli a�or an navas dTat may resIhrim tt or ffumoln brd such + structure_Pfd consult vAtth your biome€ Omens Asssodadon and review your deed for any restirictions Wh5dfr may apply. is fn considenatica of the granting of this requested pen ni%I do hereby agree that II wIL in alll respects,perform the work Fn accordance uunM the approved plan,the IFlloriida Buurdlding files and St_Lucie County Amendments- The mendmentTi he following building permit applic3donrs 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 Nat€e of Commenmment may result in ywr paying t i e for improvements to your properly.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. s offQ Le /Agent re //1 f '(' STATE OF FJORIDA t . �I SKATE OF FI.OIiIDA COUNTY OE ��ts•�Gi �i COU O� 5�'• L The forgoing instrument was ac9or ovAedged before me The forgoing instrument was arkrovdedged before me 26 by (95`m`i a rperson ach nawfiealgnrng b (Kamrne of per gimg)) I tture©ff Ruttary PubVae-Stag off flkmfda) (ygnatiaure of Notary IPnu ur State of FAA dda� Personally CKnown OR Produced Identtili on t#4000' Personally fKrnv nrn OR Prod 1 Type of Identiha fJ., n Produced . TWe of lr> def ftationn Produ EANNA of Ne gF1on C..y—(G 6-7 -255Commission IN o'. bl+c 16 Commission No_ , 11�1`�- NoiarY P° +res 5t3161 11 MY C omea iooal NColl NSSQ•_ LAUREN MON. NINfi ,�` r aea rnroo9h EXPIRES: ctober29 2018 Reid 0711512014 ��;jj;0 Bonded Thru Notary Public Underwriters REVIEIAIS FRONT ( ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS a., * ••� f