HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED // c
Date:_'_U �� Permit Number:
VL
EBuilding pp e
P rmit Application
NOV!
y 2016
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
PROPOSED IMPROVEMENT LOCATION: .
Address: 495 SE AIROSO BLVD PORT ST LUCIE, FL 34983
Legal Description: RIVER PARK-UNIT 6-BLK 57 LOT 7(MAP 34/28S)(OR 3930-1481)
Property Tax ID#: 3419-545-0025-000-0 Lot No.7
i
Site Plan Name: Block No. 57
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE/FLAT ROOF AND INSTALL NEW SHINGLE/FLAT ROOF
.CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—check a appy:
HVAC rl Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator 11 Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 400 S Ft. of First Floor: 1454
Cost of Construction:$ 8450.00 Utilities, 0 Septic Building Height: 1 STORY
OWNER/LESSEE: 'CONTRACTOR:
Name WARENS INVESTMENT HOLDINGS,LLC Name- CHARLES RICHARDS
Address:5711 NW 117TH ST Company: ALL AREA ROOFING
City: HIALEAH State:FL Address: 3921 S US HWY 1
Zip Code: 33012 Fax: City: FT PIERCE State:FL
Phone No.772-485-1430 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: 711
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL 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:
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
commencipg work or recording our Notice of Commencement.
F
5
Sign re of Owner/Le see Contractor as Agent for Owner SiE&dre of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this j-4'L— day of Alo yM h-P f 20 J!by this�day of A(D)re,eyLhpf- 20 )/o by
(Name of person acknowledging) (Name of person acknowledging)
(Sig4urf Notary Public-State of Florida) (Signature of 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
o FAITH MASON
Commission No. e�.*Yp *( �M Arf H NN 0003939 Commission No. X01 Pu * MY( It�SION/GG 003939
�� \oe EXPIRES:Jury 20,2020 Q\oe EXPIRES:June 20,2020
1241:PI BOOM MUM Bute NWLV Son&$$
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS