HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-17-2016 Permit Number:
J -
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 LOCATION:
Address: 2407 ROYAL PALM DR
Legal Description: ORANGE BLOSSOM EST -SECOND ADDN BLK 3 LOT (0.21 AC) (OR 3927-1201)
Property Tax 1D#: 2421-605-0019-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Tear off shingle roof replace with shingle roof
Roof is 2046 square ft on a 3.5/12 roof pitch.
Owens corning shingles Peel and stick underlayment
Lot No.
Block No.
iditional work to be nertormed under tnis permit— cnecK an apply:
®HVAC Gas Tank EGas Piping _ Shutters O Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 2046
Cost of Construction: $ 4500.00
S. of First Floor:
Utilities:n Sewer D Septic
Building Height: 18
OWNER/LESSEE:
CONTRACTOR:
Name Faustin Norzelus
Name: Richard A. Newland
Address: 1907 S 8th ST Fort Pierce, FL 34950
Company: Richie the Roofer
City: Fort Pierce, State: FL
Zip Code: 34950 Fax:
Phone No_ 772-924-4520
Address: 6704 Santa Clara Blvd
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 866-610-8652
Phone No. 772464-4329
E -Mail:
Fill in fee simple Title Molder on next page ( if different
from the Owner listed above)
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 INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 thepermit 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 vour Notice of Commencement.
Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORI A STATE OF FLORI A
COUNTY OF _% C -u c r' F COUNTY OF J Gt i
The f�g oing instrument was acknowledged efore me The for oing instrument was acknowledged before me
this / / day of ! 20 LCby this day of /1[ 20 _1/,_ by
(Name of person acknowledging ) {Name of person acknowledging)
(Signature of Notary Publi State of FloridaJP }
ersall n OR Produced Identification
Ty e of I Cation Produced
(Signature of NQZry Public- State of Florida )
P s �n OR Produced Identification
T on Produced
Commission No. t Y y MI�Sf? ILA Commission No.
` A MY 00MMiSSIQN #EE8$3700
z + IRE15: MAR 13, 2017
Revised 07/15/2014-- _. _..�
(Seal);aIST 80a'1_
l'6 !ON PEC3a�nj7oo
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
GATE
COMPLETE
INITIALS