HomeMy WebLinkAboutBuilding Permit Application 9665220
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ig' I I n Permit Number:
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Building Permit Application NOV 9 4 22o;o
Planning and Development Services PERM,ITTI; `
Building and Code Regulation Division St. Lucie Cour;:;, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _
PERMIT APPLICATION FOR: Roof
„PROFQSEi „IIVIPROVEMNT LC►CATI.QN
Address: 8591 Gallberry Cir. Port Saint Lucie, FL 34952
Legal Description: SAVANNA CLUB PLAT THREE BLK 24 LOT 3 (728-729)
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Property Tax ID#: 3425-703-0126-000-1 Lot No.3
Site Plan Name: Block No. 24
Project Name: Winant,#9665220
Setbacks Front Back: Right Side: Left Side:
DETAILED DEVSCRI' TION DE WORK
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Re-roof 15 squares of asphalt shingles.
C0 STRUCTION IN'FO`RIu(ATIr�N . .. , = '
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Additionalwor toe nerformed under tis permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7,420.00 Utilities:Sewer 0 Septic Building Height:
Name Thomas Winant Name: Quinn Roberts
Address:8591 Gallberry Cir. Company: The Home Depot At Home Services
City: Port Saint Lucie State:FL Address: 674 S Military Trail
Zip Code: 34952 Fax: City: Deerfield Beach State:FL
Phone No.(772)871 -7073 Zip Code: 33442 Fax:
E-Mail: Phone No. (954)379- 1500
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CCC058327
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUFPLEIVIENTAL CONSTRUCTION LIEN LAW INFORMATION
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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 financin t with lender or an attorn fore
com work or recordingour Notice of Comme ment.
10 a C
Signature of wner/Agent/Lessee Signature f Contractor/License Holder
STATE O FLORIQAr STATE OF FLOC IqA
COUNTY OF ((.•�� COUNTY OF L"tye-
The forgoing instrumen was acknowledged before The forgoing instrur Yt was acknowledged before me
me this 10 day of 20 16 by this_Q day of w—Mt er 20 16 by
Quinn Roberts 1 Quinn Roberts
(Name of person acknowledging) (Name of perso ac nowledging)
(Sign re Notary Public-State of Florida) (Signat o Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �� 704'3`( (Seal) Commission No. ��g 7oa3`l (Seal)
Amber Flanker
s r Amber Flank NOTARY PUBLIC
Revised 07/15/2014 STATE OF FLORIDA w Camm#FF970934
. Comm#FF970934 "WE 1 Expires 7/11/202
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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