HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/22/2016 Permit Number. ICO O 4=S5
•
Building Permit Application APP 2 5 2016
Planning and Development Services PERPAIT 1NG
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
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2303 River Hammock Ln Fort Pierce,FL 34981
Legal Description: 04 36 40(LOT 7 RIVER HAMMOCK ADDN UNREC) E 128.12 FT OF W 896.84 FT TO PARCEL C
RIVER HAMMOCK AS IN PL BK 23-2(0.50 AC)(OR 1996-1381)
Property Tax ID#: 3404-313-0011-120-7 Lot No.7
Site Plan Name: Block No. 23-2
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove the shingles over the front porch and install new shingles over peel and stick membrane.
CONSTRUCTION INFORMATION:
Additionalwork toe e orme under this permit—check a appy:
HVAC E]Gas Tank F_1 Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers F1 Generator FV/]Roof
Total Sq.Ft of Construction: v c C) S .Ft.of First Floor:
Cost of Construction:$ 5,185 Utilities:Sewer Septic Building Height:
`OWNER/LESSEE: CONTRACTOR:
Name James Collins or Joan Collins Name: Daniel Simmons
Address:2303 River Hammock Ln Company: Professional Roofing Contractors, Inc.
City: Fort Pierce State:FL Address: 3046 SE Dominica Ter
Zip Code: 34981 Fax: City: Stuart State:FL
Phone No. Zip Code: 34997 Fax: 888-504-1656
E-Mail: Phone No. 772-286-3627
Fill in fee simple Title Holder on next page(if different E-Mail: professionalroofinginc@yahoo.com
from the Owner listed above) State or County License: RC0052013
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN 'LAWINFORMATIONt `
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: ✓Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _VNot Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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
commenciniz work or recording our Notice of Commencement.
XS
Si at e of Owner/Lessee/Agent Signature of Contractor/License Holder
S'F4�E OF FLORIDA / STATE OF FLORIDA
COUNTY OF /�I/�/h COUNTY OF 1W 6Z'_ / 1_)
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this nn day of 44P ( 20 Eby this dSday of 20 e by
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(Name of pe on acknowledging) (Name of person acknowledging)
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/ � 'z �:-_/-
(Sign ture of taA7®R
to of Florida) (Sign ure of No Public-S to of Florida) /
Personally Knownroduced Identification Personally Known OR Produced Identification ✓/
Type of Identification Produced Type of Identification Produced 4c�
Commission No. /��ad� e Commission No. o14 Wmi
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• •_. Commission FP 207��4 commission#FF:744
Revised 07/15/2014 =My Comm.Expires Jun 10,2019 s Mp Comm.Expires Ju0, 19
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS