HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I l 0 (J (ONO
RECEIVED
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Building Permit Application AUG 0 2 2016
Planning and Development Services PER:UIITTiNG-
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 X
PERMIT APPLICATION FOR: Roof
,PROPOSED IMPROVEMENT LOCATION
Address: 5009 Eastwood Dr
Legal Description: Lakewood Park-Unit 12-A BLK 173S 4FT Lot 11 and all Lot 12
Property Tax ID#: 1301-615-0121-000-9 Lot No.11,12
Site Plan Name: Lakewood park Block No. 173S
Project Name: Theoc
Setbacks Front Back: Right Side: Left Side:
DETAI LED- OF WORK:
Remove a d replace entire shingle roof only , skia Iv t/vvcus 1,9,4
CONSTRUCTION INFORMATION
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers E Generator ZRoof
Total Sq. Ft of Construction: 2000 Sq. Ft.of First Floor: 1560
Cost of Construction:$ 6300.00 Utilities:Sewer F—]Septic Building Height: 1 story
OWNER-/LESSEE CONTRACTOR: ;
,.
Name Linda Theoc Name: Richard Colletti
Address:5009 Eastwood Dr Company: LeakBusters Roof Repair
City: Fort Pierce State:FL Address: 6101 Buchanon Dr
Zip Code: 27407 Fax: City: Fort Pierce State:fl
Phone No. Zip Code: 34982 Fax:
E-Mail: Phone No. 7728018393
Fill in fee simple Title Holder on next page(if different E-Mail: jessebrewer422@gmail.com 2
from the Owner listed above) State or County License: ��(p3
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: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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
commencing wo or recording our Notice of Commencement.
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V� S
_Signature of Owner/Lessee/Agent Signature of Contractor/ (cense Holder
STATE OF FLORID II t STATE OF FLORID
COUNTY OF 1 • L L� C t COUNTY OF �t (� C i _JP
The f going instr9fflent was acknowledged before me The forgoing instru ent was acknowledged before me
this day of d c 20),_by this oZ day of 1 k t,%.s+ 20 _IL_by
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C
(Name of person acknowledging) (Name of person acknowledging)
s
(Signature of N ry Public-State of Florida (Signature oMotary Public-State of FI ida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificati Aroducead
Type of Identification Produced
F::: F38 25 33 FF x38333
Commission No. Commission No. ;;iy.' (SeadASEY SINKLEY
,,p• .F CPS Y BINKLEY
MY COh1h1ISS10N p FF73 ='
'E MY COhIMISSION#FF23 a
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ExPtliES Au t 16,3 1� '`��� `
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Revised 07/15/2014 JIM"
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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