HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLI INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - Permit Number:
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: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 406 oconut Avenue, Port Saint Lucie, FL 349,5cl,
Legal Description: RIVER PARK-UNIT 2-BLK 14 LOT 10(MAP 34/22N)(OR 3928-447)
Property Tax ID#: 3419-510-0128-000-4 Lot No. 10
Site Plan Name: Block No. 14
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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COI'IS-TRUCTIO.N INFORMATION:
Additional work toe e orme under this permit—check a that appy:
11 HVAC 11 Gas Tank ❑Gas Piping 11 Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator 21
Roof Q Roof pitch
Total Sq. Ft of Construction: 2,148 Sq. Ft.of First Floor: 2,148
Cost of Construction:$ 6,500 Utilities: Sewer Oseptic Building Height: 1 story
OWNER/LESSEE CONTRACTOR:
Name Martin County Properties LLC Name: Richard V.Colletti
Address:10806 SW Meeting St. Company: Leak Busters Roof Repairs LLC
City: Port St Lucie State: FL Address: 6101 Buchanon Drive
Zip Code: 34987-2158 Fax: City: Fort Pierce State:FL
Phone No.772-530-1901 Zip Code: 34982 Fax:
E-Mail:Dcoletti@att.net Phone No. 772-332-8450
Fill in fee simple Title Holder on next page(if different E-Mail: dchiecolletti@gmail.com
from the Owner listed above) State or County License: CCC1330976
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone, Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Si`gnAture of Contractor/ icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OFfSc-i;-)-4 /,_3 c �e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this! day of-� mb 20 Eby this�day of �-»�v► !C .20 _by
(Name of person acknowledging) (Name of person acknowledging)
� r
(Signat re o ota Public-State of Florida) (Sig re of Notal
ota Pu li6-State of Florida)
Personally Known_ —OR Produced Identification Personally Known C OR Produced Identification
Type of Identification Produced TVDe of Identification Produced
"elet1"' SALLY PORTE
�'�•' U 'Seel SALLY PORTES
Commission No. d••` ea� m ission No. �` '°
ommission N GG 4 6 O "`+y .� My Commission Ex fires co mission�k GG 478
o� My Commission Expir
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November 15 01391'
Revised 07/15/2014
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