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Home My WebLink AboutBuilding Permit Application I SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION:. DESIGNER/ENGINEER: X Not ApplicableMORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: I FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: I Address: City: City: Zip: Phone: Zip: Phone: I 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,1 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 qaMmencini work or recording our Notice of Commencement. S _Signature of Owner/Lessee/Av Signature of Contractor/License Holder STATE OF FLORIDA / STATE OF FLORIDA COUNTY OF I St • L Gt of e COUNTY OF S4. LL.,c%2 The for oing i I strument was acknowledged before me The forgoing instrument was acknowledged before me this day of -lin 20 1�by this 31 day of o_. 20 1 by I'R IrCACo l e (Name of person acknowledging) (Name of person acknowledging) (Signature o otary Public-State of Flor' ) (Signature 4 Notary Public-State of Flo Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifikation Produced Type of Identification Produced Commission No. FF 3 2333 (Spal) Commission No. ; +e"''titi,; ,. CASEY SINKLkY F F 3 g 333 ""' CASEY BINKLEY e hi RAY CO Revised 07/115/2014 � °!r;•r'r.. . EXPIRES August 16,2018. •,qr•,..•' EXPIRESAu16,2019 IdOII�f17 U'd9 PIOfklaNetB•SFlinra:rar �10��88.O:D3 FIuWaNA:a SWvice nar. I REVIEWS FRONT ZONING: SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I INITIALS I I i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Il0• •� �' Permit Number: REcEwEo I Building Permit Application JUN ®2 2016 Planning and Development Services Building and ICode Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (77i)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: Address: 8201 Fort Pierce Blvd Legal Description: Lakewood Park-Unit 8-BLK 92 Lot13(Map 13/02N)or 32442227 Property Tax ID#: 1301-608-0118-000-3 Lot No.13 Site Plan Name: Block No. 92 Project Name: Edwin A Kiel Setbacks Front Back: Right Side: Left Side: FDETAILED,!DESC'RlP7TION OF WORK: Roof replacement — 5h� � CONSTRUCTION INFORMATION: Additional work toe e orme under this permit—check a appy: HVAC ri Gas Tank E]Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers Il Generator W1 Roof Total Sq.Ft of Construction: 2040 S . Ft.of First Floor: Cost of Construction:$ 7268.57 Utilities:Sewer Septic Building Height: c OWNER/LESSEE: . CONTRACTOR: Name Edwin A Keil Name: Richard Colletti Address:493 county Route 46 Company: Leak Busters Roof Repair City: Stuyvesant State:NY Address: 6101 Buchanon Dr Zip Code: 12173 Fax: City: Fort Pierce State:fl Phone No. 1 vy 9 Zip Code: 34982 Fax: E-Mail: I Phone No. 773-332-8450 Fill in fee simple Title Holder on next page(if different E-Mail: jessebrewer422@gmail.com from the Owner listed above) State or County License: state i i If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 4'r� DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: I FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I 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 70 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 _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF S-v• Lu.C,2 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this da�Of 20 _by this 31 day of P)c>4 120 _(by 1 RcA Co0P-tl (Name of per'son acknowledging) (Name of person acknowledging) e (Signature of Notary Public-State of Florida) (Signature 64 Notary Public-State of Flo Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Ident I ification Produced Type of Identification Produced Commission No. (Seal) Commission No. F F-2 3 8 333 _:$'' •` ;: CASEY SINKLEY .N EXPIRESAugust 15,20'!0 Revised 07/1-5/2014 ucr�aeaa�es FWi"Nd a S&v"ts=ur. . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I I