HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
7/6/16 Permit Number:
R E C E I V'�D U_ 14 70"B
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential YES
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line -
PROPOSED IMPROVEMENT LOCATION:
Address: 3115 SUNRISE BLVD FT PIERCE, FL 34982
Legal Description: MARAVILLA HTS BLK A LOTS 24 AND 26(0.49 AC) (OR 2492-2327; 2980-1298; 3623-1089)
Property Tax ID#: 2428-601-0022-000-5 Lot No.24 &26
Site Plan Name: Block No. A
Project Name: CLARK
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF FLAT ROOF ON GARAGE AND INSTALL NEW FLAT ROOF
CONSTRUCTION INFORMATION:
Additional work to ff
rorme un ert ispermit—c ec a appy:
11 HVAC Gas Tank ❑Gas Piping fn Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers El Generator ❑ Roof
Total Sq. Ft of Construction: 260 SFt. of First Floor:
Cost of Construction: $ 4950.00 Utilities:CnSewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name TARA CLARK Name: CHARLES RICHARDS
Address:3115 SUNRISE BLVD Company: ALL AREA ROOFING
City: FT PIERCE State:FL Address: 3921 S US HWY 1
Zip Code: 34982 Fax: City: FT PIERCE State:FL
Phone No.772-216-7704 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page (if different E-Mail: JENNIFER@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: _ 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
commer)AiRg work or recording our Notice of Commencement. 7
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s
_Signature of Owner/Lessee/Agent Si ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STL.UCIE
The forgoing instrnt as acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Z k by this L day of 20 �by
(Name of,person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub ic-State of Florida ) (Signature of Notary Pubh `,State of Florida )
Personally Known OR Produced Identification Personally Known /% OR ProducedIdentification
Type of Identification Produced Type of Identification Produced
Commission No. ��(�OJ}i3% rpu(Seal) FAIN MASON Commission No.Go__1001991•j 9 (Seal)
Ilk,� MY COMMISSION#GG 00393 ttaY pu
* * FAITH MASON
uno zu,2020 * * MY COMMISSION#GG 003939
Wad fft St \oe EXPIRES:June 20,2020
Revised 07/15/2014 'kcRt4�P nn,srr�se ,
REVIEWS FRONT ZONING` SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE .
COMPLETE
INITIALS