HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: RECEI'.".D DECO 7 2015" Permit Number:
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Building permit Application
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BulTding and Code Regurafion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof r 5�1'e ,� 1
PROPOSED IMPROVEMENT LOCATION:
Address: 7403 Oleander Ave.Fort Piens, FL 34952
Legal Description: 16 36 40 N 125 FT OF S 250 FT OFSE 11//4 LYG E OF ST LUCIE RW4_ESS E 30 FT FOR RD
R/W-(0.09 AC) (OR 1388-2832) . '
Property Tax ID#: 3416-444-0001-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Bache: Right Side: left Siebe:
DETAILED DESCRIPTION OF WORK:
Remove existing shingle roof and replace with new 30 year architectural shingles
CONSTRUCTION INFORMATION:
A itiona work to a rm under this permit—checka apply:
®HVAC Gas Tank as Piping _Shutters �Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: 5171 Sq.:Ft. of First Floor:
Cost of Construction:$ X000-00 Utilities:Seeger OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameMalvina N Perih Name: Ronald Latta
Address:7403 Oleander Ave- Company-Treasure Coast Conus Inr
City: Fort Pierce, State:FL Address: 3458 SW Pluto ST
Zip Code: 34952 Fax: City: Port Saint Lucie State:FL
Phone No. Zip Code: 34853 Fax:772 905-40MG
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 CONSTRUCTION LIEN LAS'HNFORMA-nO1 :
DESIGNERIENG N Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FLEE SIMPLE TSE HOLDER: A Not Appkabk BONDING COMP X Not ApplicabVe
Name: Name:
�
Address: Address:
+ Zip: Phone: Ztip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St-Laurie Coutsnakes no represen tat ian that is granting a permit as it au thaTi¢e tthe hermit holder to build the subject structure
which i s in n t n�ai?t8n aj appli-cab11e Home Owfiers Asso�lon runes„bylaw or an covenaardsthat may mstriet or prohibit such
structure-Pease consult with your Home iters Assodattkm and mview your dell fair any restrictions-0hic a may aWy_
I rf:connsedembion of the granting of this requested pennit II do Hneireby agree that 11 wil„in all respects,peribm the wairk
I rt:.a ¢rakmmae itdin ltline appmuedIpl1a ,the f'to da HuNdi ng Codes and St.IL uc ie Coun1W 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% ith lender or an attorney before
commencing work or recording our Notice of Commencement.
s
_Signature of Oymer/Lessee/Agent ?�Ontractor/Uc&6e Holder
•6 1
STATE OF FLORID I STATE OFFLORIDA
( CIDU OF t • l _LA C,1~ COUMT OF S L U c
The forgoing iansta ment lames ack nowRedged before ane the forgoing instrumentass acfkno�.+�7edged before me
this15 day off � -e 20 Eby tt Hs_2_day of 20 15 &q
Y' Mfii-V I A--4 /&& f/ S,a yno,N� L a, �
(Name of person acano gong j iName of 1per m n ack nowlIedging»
iSiganatur:e of Notary public-State off fL'cdda j VSnganatture of Notary pnu State of plum
NNP e
Personally(Known OR(Produced Identificationr� PeasornaW Known oan
Type of Identttiffica ?on Pffoduced FL- ,c kv�.ls Ce rZ, Type of Rdem
Commission No-F—L 12 7 Q ,ti iREA LATTAI Coaao issioro _ t W
,VhSSION t#EE 2 ns _ �deat ➢:
ANDREA LATTA, 711=� w Netm PANG Un
9�., �7< ?cS:June 28,2 16
.4rE or
7
EXPIRES:June 28.2014
l til �blkUnderwrters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER (REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INfi•IABS � '