HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/14/2016 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 X
PERMIT APPLICATION FOR: Roof - `;h;r Jle
:.PROPOSED IMPROVEMENT LOCATIOfV
Address: 8491 Juneberry Ct., Port Saint.Lucie, FL 34952
Legal Description: Savanna Club Plat Three,Sec 25,Block 28,Lot 12
Property Tax ID#: 3425-703-0294-000-9 Lot No. 12
Site Plan Name: Block No. 28
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAIEEDDESCl_IPTlON'OF WORK:
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CONSTRUCTION'INFORMATION: I,.
Additional work toe - e orme under this permit—c ec a t t app y:
❑HVAC 11Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric El Plumbing Sprinklers Generator 21 Roof Roof pitch
Total Sq. Ft of Construction: 1,763 Sq. Ft.of First Floor: 1,763 '
Cost of Construction:$ 7,600.00 Utilities: Sewer[:]Septic Building Height: 1
01NESSEE. CONTRACTOR
Name Roca-Housing Solutions,LLC Name: Richard V.Colletti
Address: 419 W 49th St,Ste.217 Company: Leak Busters Roof Repairs, LLC
City: Hialeah State: FIL Address: 6101 Buchanon Dr.,:
Zip Code: 33012 Fax: 888-635-1767 City. Fort Pierce State: FL
Phone No. 305-338-1669 Zip Code: 34982 ''Fax:
E-Mail: roca@fasteasycpa.com Phone No. 772-332-8450
Fill in fee simple Title Holder on next page(if different E-Mail: richiecolletti@gmail.com
from the Owner listed above) State or County License: CCC1330976
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION.LIEN LAW-INFORMATION
DESIGNER/ENGINEER: x 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 an&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.
C' lr u A& 7z;�AyjV1 ,
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA L-u COUNTYOF C-4.LLkc,i COUNTY OF
The fo�rg�oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this f N day of (2CJ c7). V.(- 20 Aipby this k4 day of QcJ,06QI 20 lkp by
(Name of person acknowledging) (Name of person acknowledging)
(Sigrat'�re of N * Public-State of F! a) (Signature of ary Public-Sta f Florida)
Personally Known F' R Prohcghrfht"My Personally Known "'INA['h ucet%§A1 1cJMbWLEY
Type of Identificati ii,{'�[ ucedhly-0' 0,14 li)�i r F738333 Type of Identification P� {u MY COh1h11SS10N F6238333•
=7i�•,;.r, rx�;r?E S r„a �� iG,2018 ••', y4��• EXPIRES Augyst 18.2016
Commission No. 14th i`. r Commission No. wn�snu c5a P karvu:®car."" .
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE-
INITIALS