HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: r� !� Permit Number: I X00 �,^ SOS S
/ E,IVrE
Building Permit Application MAR 2 BIN
Planning and Development Services
Building and Code Regulation Division PER[IlITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
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
�FROPOSED IMFROVEIVIENT LOCATION � F.'=r� _ � -rt t
Address: 6802 PANDORA AVE
Legal Description: LAKEWOOD PARK-UNIT 12-A-BILK 167LOT 2(MAP 13/12S)(OR 409-194)
Property Tax ID#: 1301-615-0003-000-6 Lot No.
Site Plan Name: Fredenburg Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.WORK
Tear off roof to deck replace with a Polyglass roof system roof pitch is 2/12 and 1 /12
CONSTRUCTION INFORMATIQN
Additional work to ape Orme under this permit—check all appy:
HVAC ❑Gas Tank Das Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 1800 S . Ft.of First Floor:
Cost of Construction:$ 10800.00 Utilities,-T] 0Septic Building Height: 15'
OV1(NER/LESSEE CONTRACTOR:;
Name James A Fredenburg 6802 PANDORA AVE Name: Richie The Roofer
Address: 6802 PANDORA AVE Company:
City: Fort Pierce State:_ Address: 6704 Santa Clara Blvd
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.7725-332-2306 Zip Code: 34951 Fax:
E-Mail: Phone No. 772-473-6197
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: 20506
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'SUPPLEMENT AL CONSTRUCTION LIEN LAV1/ IN,FORIVIATION{
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Ad d re ss: 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 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.
s
ignature of Owner/Lessee/Agent Si ur Contractor/License Holder
STATE OF FLORIDA�� STATE OF FLORIDA LULL
OF LUUE, COUNTY OF
The r oing instrument was acknowledged before me The for oing instrument w acknowledged before me
this day of JMn 20 Up by this day of I 1 lid 20 It, by
I
(Name of person acknowledging) (Name of person acknowledging)
A Ac9��
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida)
Personally Known OR Prod ed Identification '/ Personally Known OR Prodlicged Identification
Type of Identification Produced of Identification Produce
"" KAREN S. NIELSE( ;.•,�Q:a";fin, KAREN S. NIEL N
Commission No. 'pr"°��' S
_( @$ mission H FF 1156IC10mI5510n NO. 5 Sa° *:�$g�)nission N FF 11563
_* *_ - = My Commission Expire
B, - My Commission Expir 201 8
oma:
QE I-V
° 2 2018
June 12.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS