HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 01-21-2016 Permit Number:� (n n ^
it igz�ff_j_ RECEIVED
Building Permit Application JAN 21 20%
Planning and Development Services PERMITTING
Building and Code Regulation Division St.Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Other Q
PROPOSED IMPROVEMENT LOCATION:
Address: 5607 BIRCH DR
Legal Description: INDIAN RIVER ESTATES-UNIT-08-BLK 56 LOT 39 (MAP 34/11 N) (OR 3092-1522)
Property Tax ID#: 3402-609-0177-000-3 Lot No.39
Site Plan Name: Block No. 56
Project Name: FRECHETTE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SKYLIGHT, INSTALL NEW SELF FLASHING MIAMI DADE APPROVED
SKYLIGHT
MAXIM INDUSTRIES DADE SELF FLASHING SKYLIGHT FL#2418.2
CONSTRUCTION INFORMATION:
Additional work to be nertormed under tispermit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 750 Utilities:Cn Sewer 1:1 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name SHANNON FRECHETTE Name: CHARLES RICHARDS
Address:5607 BIRCH DR Company: ALL AREA ROOFING
City: FORT PIERCE State:_ Address: 3921 S US HIGHWAY 1
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No.772-979-2578 Zip Code: 34982 Fax: 772-464-6600
E-Mail:MYLILSHARKY@GMAIL.COM Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: SONIA@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1326177
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 thepermit 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.
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S ature of Owner/Lessee/Agent Sig a of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The for
instr ment was acknowledged before me The M
Ding instru�\m�e�_�nt was acknowledged before me
this 19 day of 20 Eby this day of �-w\ 20 NkQ by
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y "�'"�"°�:°:
CHARLES RICHARDS ,`' SON- CHARLES RICHARDS ; SOMA DESTAFNEY
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(Name of person ackno )oma, MY CO #FF1254 (Name of person ackn %Wd 'g MY COMMISSION#FF125420
MMISSION
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F�°.. EXPIRES ` •••••oP�'•` EXPIRES May 21, 2018
(dol)328.0163 MaY 21, 2018
Fl21,
(407)398-0153 FloridallotaryServicezom
( igna urb of of lic-State of Florida) (Sig a ure of otary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS