HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: Permit Number:
RECEIVED
Building Permit Application DEC 17 2015
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982 yes
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5815 seagrape dr. ft. pierce fl. 34982
Legal Description: INDIAN RIVER ESTATES UNIT 08-BLK 21 LOT43
Property Tax ID#: 3402-609-0036-000.3 Lot No.43
Site Plan Name: 5815 SEAGRAPE DR Block No. 21
Project Name: VICTOR PRESUTTI
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF OLD SHINGLE ROOF AND INTALL NEW 5V-METAL 5/12 PITCH
CONSTRUCTION INFORMATION:
Additional work toorme under this permit—check a appy:
HVAC 11 Gas Tank Gas Piping Shutters Windows/Doors
OElectric � HF!
Plumbing Sprinklers Generator F%/]Roof
Total Sq. Ft of Construction: 33000 Sq. Ft. of First Floor: 2300
Cost of Construction: $ 12000.00 Utilities:]Sewer Septic Building Height: 8
OWNERAESSEE , CONTRACTOR:
Name Name:
Address: Company: JOHNUANNON
City: F State:_ AddreFsO
Zip Code: 34982 Fax: City: -468t027 �-
Phone No.468-0202 Zip Code: 34951 Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page( if different E-Mail: Jgcannonroof gicioud.com
from the Owner listed above) State or County License:
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 recording our Notice of Commencement.
s
Sign re of wner/Lessee/Agent Signature of ContfactorfLicense Holder
STATE OF FLOt
STATE OF FLORIDA
COUNTY OF U- )C,I IF, COUNTY OF <5�1"L-yc4e_
The Fday
ing ins ument was acknowledged before me The forgoing instrument was acknowledged before me
this of 20 I!Sby this_Zfj day of 6ECF-01.6 El- ,20 1 by
y
(Nahfeof person acknowlLngl (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida )
Personally Known OR Progjuced Identification Personally Known OR Produced Identification
Type of Identification Produced 1'l. 0'�_- Type of Identification Produced
Commission No. _ 1 r mission No.
"""'• KAREN S. N I E L S E +fib PAIMCIA A.STANTON
Commission k FF 1156 7 MYCOMMISSION 17
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My Commission Expires '
Revised 07/15/2014 %°"` June 12, 2018
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DATE
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