HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,r� z
Date: 7/6/16 Permit Number: / (Q V� nJ n •
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RECEIVED
Building Permit Application JUL I � 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (77�)462-1553 Fax: (772)462-1578 Commercial Residential YES
PERMIT Ai PPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 261 IO Newport Dr Fort Pierce, FL 34982
Legal Description: ORANGE BLOSSOM ESTATES-2ND ADDN-2ND PLAT BILK 7 LOT 6 (0.21 AC)(OR 1138-1356)
Property Tax IID#: 2421-609-0014-000-9 Lot No.6
Site Plan Name: Block No. 7
Project NamII. UTILE
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
TEAR OFFS FLAT ROOF AND INSTALL NEW FLAT ROOF
CONSTRUCTION INFORMATION:
mAdditionalwork e e this permit—check a apply:
HVAC be
❑Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers El Generator El Roof
Total Sq. Ft of Construction: 544 S Ft.of First Floor:
Cost of Construction: $ 5200.00 Utilities:cn Sewer D Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name LOUIBERT UTILE Name: CHARLES RICHARDS
Address:2610INEWPORT DR 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.7721L361-2205 Zip Code: 34982 Fax: 772-464-6600
E-Mail: I 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:
DESIGN ER/ENGI NEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: V Name:
Address: I Address:
City: l State: City: State:
Zip: l Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 4Not Applicable
Name: Name:
Address: I Address:
City: I City:
Zip: I Phone: Zip: Phone:
I certify tha 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 ion 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 str6ctures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
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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
commep4nlg7work or recor4ing your Notice of Commencement.
KAI, A
Signature of Owner/Lessee/Agent Slirmt-u—re of tontractor7oce_nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1 ST LUCIE COUNTY OF ST LUCIE
The forgoing ionstr nt was acknowledged before me The forgoing instNment was acknowledged before me
this day f 7� 20 LL-by this to day of'JU_J_,4,I 20 �by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- tate of Florida (Sig—nature of Notary Public-State of Florida
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Personally Know� n OR Produced identification Personally Known V__�OR Produced Identification
Type of Identifi Known
Produced Type of Identification Produced
�Cq�-00 (Seal)
Commission No 00 3 FAITH MASO Commission No. C
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MY COMMISSION#G 003939 A �VPIR ITQ-'Jtjn,e20 020
OF 9cn*TW3u*tNotaqSaM= P&.- FAITH MASON
Revised 07/15/2014 c
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YC MMISSION#GG0039'39
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REVIEWS FRONT' " ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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