HomeMy WebLinkAboutBuilding Permit Application 8666627
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCAI`ION
Address: 5325 Montego Cir. Fort Pierce, FL 34949
Legal Description: OCEAN RESORTS COOPERATIVE SITE 365 (OR 888-2320)
Property Tax ID#: _1410-502-0365-000-9 Lot No.
Site Plan Name: Block No.
Project Name.. Gawron,#8666627
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONr,OF WORK '
Re-roof 15 squares of asphalt shingles
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CC7NSTRUGTION INf0RIVIATIO.N
Additionalwork toe e orme un er t is permit—check a t a appy:
HVAC E] Gas Tank Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers 11 Generator Z Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 7,404.00 Utilities:n Sewer[]Septic Building Height:
OWNER/LESSEE CONTRACTOR
Name Heidi Gawron Name: Quinn Roberts
Address:5325 Montego Cir. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34949 Fax: City: Deerfield Beach State:FL
Phone No.(561)707-2978 Zip Code: 33442 Fax:
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.
SUPPLEMENTAL CONSTRUCT' JON LIEN LAW INFORMATION
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4.
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 recorded and posted on a jobsite
before the Ins ction. If you intend to obtain inanc' , consult 'th lender.or an attorneyib fore
comme in work cirecordin i f C me cement.
Signature of Owner/A nt/Lessee Signature of Con actor/License Holder
STATE OF FLORIDA STATE OF FL RIDA
COUNTY OF COUNTY( �,((�-
The forgoing instrumentas acknowledged before me The for�joing instr ent was acknowledged before me
this�day o O 20 15 by this^al day of 20 15 by
Quinn Roberts Quinn Roberts
(Name of person a k Wedging (NaWpsoncknowle g)
(Signature Notary Pub is-State of Florida ) (Si ur of Nota tate of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. t��a(�� la (Seal Commission No. g2- (Seal)
AMBER FLE KER AMBER FLENKER
NOTARY Pit IC NOTARY Pt JI3LIr
STATE OF FLORIDA STATE OF FLORIDA
Revised 07/15/2014 ;r�� Comm#EE215692 Cornm#EE215692
CE 19
Expires 7 1 iia 't� EXpirae
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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