HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
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 xxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 8303 Coquina Ave Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 8- BLK 91 LOT24 (MAP 13/02N) (OR 806-550: 1340-402: 2897-980)
Property Tax ID #: 1301-608-0098-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
Tear off existing shingle roof Install New shingle roof on 2700 square feet and a 5112 roof pitch
Hacinnitionai worK to DMasTank
ormea unser rnis permir — cnecK aii apply:
11HVAC OGas Piping _ Shutters F—] Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator ® Roof
Total Sq. Ft of Construction: S Ft. of first Floor:
FJCost of Construction: $ 9875.00 Utilities:Sewer Septic Building Height:
OWN ER%LESSEE:
CONTRACTOR:
Name
Name: Richie the roofer
Address: 8303 Coquina Ave
Company:
City: Ft. Pierce State: FI
Zip Code: 34961 Fax:
Phone No. 359-1591
Address: 6704 santa Clara Blvd
City: Ft. Fierce State: fl
Zip Code: 34951 Fax:
Phone No. 772-473-6197
E -Mail:
State or County License: 20506
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above]
If value of construction is $2540 or more, 2 RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
Name:
Address.
City:
Zip: Phone:
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF st Lucie
The forgoing instrument was acknowledged before me
this `Z 1 day of .7 f! , 20 L -by
cense Holder
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this 'Ll- day of . 20 %( by
i I f slcC j /V (", �Gi t fILc_v"'�
(Name of person acknowledging ) (Name of person acknowledging)
(Signature of Notar ublic- State of Florida } (Signature of- otary Public- State of Florida }
P onall OR Produced identification Per y Kno OR Produced Identification
T entification Produ Typ o (cation Produced
o{ MISTY BOBILIN
Commission No. r MWSi M iSSION#EE883700 Commission No.
�+ WIRES: MAR 13, 2017s eRr n FIAI 1Y 8081LA
"` Bonded ttrou h 1 s MY COMMiSSION #EE883700
17
Revised 07/15/2014 ?ondetl i� rough 1St State tnSurance
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS