HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '1' 1 Permit Number:
Building Permit Application APR 19 20166
Planning and Development Services
FEi;:rei TTL.G
Building and Code Regulation Division St. Luck, Cautl_y,
, _;_
2300 Virginia Avenue Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 4713 EI Nueva Avenue Ft Pierce, FL 34946
Legal Description: Harmony Heights Addn No 3 BLK D Lot 16
Property Tax ID#: 1431-703-0080-000-9 Lot No.16
Site Plan Name: Bacon Residence Block No. D
Project Name: Bacon Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove shingle roof and replace with new shingles
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC El Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 1,728 ScFt. of First Floor: 1,728
Cost of Construction:$ 7,500 Utilities.
Septic Building Height: 8 Ft-
OWNER/LESSEE: CONTRACTOR:
Name Pete Bacon Name: Jamie Cisco
Address:4713 EI Nueva Avenue Company: Sunshine Roofing, LLC
City: Ft Pierce State:FI Address: PO Box 1083
Zip Code: 34946 Fax: City: Palm City State:FI
Phone No.407-256-3718 Zip Code: 34991 Fax:
E-Mail: Phone No. 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above) State or County License: CM 327796
1f 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 Commencem n .
Sllgnal
of Owner/Agent/Lessee Signatof Contra ctor/License Holder
STATE OF FLOJffl STAT OF FLORI qq11
�
COUNTY OF COUNTYOF
The�10
r oing instrum t was acknowledge before me The for oing instrument was acknowledged before me
this T day of 20 by this�day of � 20 by
DQ�Vz_ E)a r n n Jamie Cisco
(Name of person acknowledging) (Name of person acknowledging)
414 1_/7/2 , 1), '/01 I'd'g— "4-A, -
( 'gnature of Notary Pub ic-Sta e o Florida) / (Si n ture of Notary Pu ' - tate of Florida)
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
ct .�" �YIP�3< IOL'RESADERITA Y;.,,^
Commission No.f r �S ;, ommission No. r9 ' � <w �; SealI THERESADERITA
($ �Fhf`1.7 October 29,2029 A 4 `�( MY�COMMISSION 0 FF 062929
17
?:,Nary PublicUnderwrters z; „r EXPIRES:October29,a�r0er
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS