HomeMy WebLinkAboutBUILDING PERMIT APPLICATION Al
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'ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application .
Planning and Development Services
Building and Code Regulation Division 1
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR:
Roof
` PROPQSED_IMPROVEMENT LOCATION
Address: 3801 Spatterdock Lane, Port St. Lucie, FL
Legal Description: The preserve at Savanna Club-BLK 46 Lot 16(OR 2171-2858)
Property Tax I D#: 3425-706-0074-000-0 Lot No. to
Site Plan Name: w Block No.
Project Name: (7J� e117 yi
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WORK ti ,: 4. J
Dimensional Installation To Existing 3 Tab Shingles. (�, FfE pJ OA/
CONSTRUCTION INFORMATION
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Aclaitional work to be performed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric El Plumbing @Sprinklers 0 Generator Roof Roof pitch
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ a ®a'00 Utilities: Sewer Septic j',;Building Height: S,*kQ R
01NN,ER/LESSEE CONTRACTOR t`
Name Louise England Name: Bruce Watley
Address:1669 SW Wildcat Trail Company: Jupiter Island Roofing, inc.
City: Stuart State:FLAddress: 11708 SE Dixie Highway
Zip Code: 34997 Fax: City: Hobe Sound State:FL
Phone No. Zip Code: 33455 Fax: 772-223-0684
E-Mail: Phone No. 772-223-0604
Fill in fee simple Title Holder on next page(if different E-Mail: toolbruce100@hotnail.com
from the Owner listed above) State or County License: CCC-1327631
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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S:UP'PtEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
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:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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/Contractor as/Aent for Owner ignature of Contractor/License H er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �1 •/1.�lClQ, COUNTY OF Lllf o
S�
The forgoing instrument was acknowledged before me The fing instrument was acknowledged before me
this /* day of &)dyeolLu , 20& by thisday of 03)) ,20/A by
(7Nam f person acknowledging (Name of person acknowle ng)
Si a ure of Notary Public State of Florida) (S re of Notary Public-slate of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
PP oduced Produced ,
�'► lJ����•b�9• 1 5�� i., . „r 1_a3r1AHN.4.INGRF'
,_,��,�., 1 01 Flor a -.
Commission No. (Seal. —"�= missi:n No. public-Sia.e
..... LASHAHNA II Gi+ �S�a�� EXPires Dec 20 2 1
.......... Comm. 1772A
Piotary Public-St to of Florida.
0 2018 u' c Commission 4�FF s
Y i s on FF 177249 ':;;,°.��°` Bonde throu9. .
REVIEWS FRONT ZO`Nf1 . ., o- S Pr y IonalRidA sn VEGETATION i.SE :zT' URTCE`�• MANGROVE
COUNTER REVIEVI/"`" . .;. � ' LIFE REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 7/2014