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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7-1-2016 Permit Number: m w 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT L©CATIOW Address: 7301 Sebastian rd. Fort Pierce, FL 34951 Legal Description: LAKEWOOD PARK -UNIT 2- BILK 16 LOT26 (MAP 13/11 S) (OR 3762-1825) Property Tax ID #: 1301-602-0146-000-0 Site Plan Name: Project Name: Pricop Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION -OF W ORIC: ... ,, .. Tear off shingle roof replace with shingle roof Roof is 1800 square ft on a 3.5112 roof pitch. Owens corning shingles FL10674-R11 Double 30# felt dry inn Lot No. Block No. CONSTRUCTION INFORMATION: I Additional work to be nertormed under this permit —check all apply: F HVAC Gas Tank DGas Piping_ Shutters Windows/Boors Electric Plumbing OSprinklers EGenerator ZRoof Total Sq. Ft of Construction, Qo 3c C+ S. Ft. of First Floor: 1, r Cost of Construction: $ `7 �(,) . C� Q Utilities: Sewer Septic Building Height: it OWNERf LESS>_E: C0N.1'RACTCfR; Name Lenuta Pricop Name: Richard A. Newland Address: 7405 Sebastian RD City: Fort Pierce, State: FL Zip Code: 34951 Fax: Phone No. 772-464-4113 E -Mail: Fill in fee simple Title Halder on next page ( if different from the Owner listed above) Company: Richie the Roofer Address: 6704 Santa Clara Blvd City: Fort Pierce State: FL Zip Code: 34951 Fax: 866-610-8652 Phone No. 772-464-4329 E -Mail: richieroofer@yahoo.com State or County License: 20506 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFDRMATIOI - 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 commencing work or recording your Notice of Commencement. :71'signature of Owner/ Lessee/Agent i�gnat�ure of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFS'/ /.i, c rr COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of CSC= 74 r ,& e 20✓( by this 2a day of CC10ft-i- 20 14by (Name of person acknowledging ) (Signature of Notary ublic- State of Florida } (Name of person acknowledging) (Signature of Notary Public- State of Florida } Personally Known O 1n P uced I en �t P na leu ` fM-f1rac6c-ed..ldp*i Identification .� f__ QUion YA �ui�iYrbotl%i�t-- T -e ttrtication Pro f Type of Produc R °e� [016T'Rmu�v MY- my co MMiSSION #EE883700 ' # PI S: Mei 13, 20 i EXPIRgSW"13, 20'7 Commission No. gn;;Commission No. tgh "St Stag Insurance Bonded: -moiststaleInsurance Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS