HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 212117 Permit Number: `6)
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: 6871 BRONTE CIR PORT ST LUCIE, FL 34952
Legal Description: OLEANDER PINES BLK 2 LOT 9(0.21AC) (OR 996-2727)
Property Tax ID#: 3415-705-0140-000-0 Lot No.9
Site Plan Name: Block No. 2
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF
REMOVE AND INSTALL NEW SKYLIGHT
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC Ei Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator W1 Roof Roof pitch
Total Sq. Ft of Construction: 3460 S Ft.of First Floor:
Cost of Construction:$ 12300.00 Utilities:DSewer F Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name JANIE ROBERTS Name: CHARLES RICHARDS
Address:6871 BRONTE CIR Company: ALL AREA ROOFING
City: PORT ST LUCIE State:FL Address: 3921 S US HWY 1
Zip Code: 34952 Fax: City: FT PIERCE State:FL
Phone No.772-971-3858 , 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: CCC1326177
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 t first inspection. If you intend to obtain financing, consult with lender or an attorney before
comm9ficjAg work or recordinR vour Notice of Commencement.
s
Signa ure of Owner/Lessee/ ontractor as Agent for Owner Signature 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 day of Q� 20 L by this day of -t' �LLa94 20 f by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of person acknowledging)
(Signa ure of 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
Commission No. (Seal) FAITHMASON Commission No. (Seal)
* MY COMMISSION#GG 003939X0-09 p449,�c FAITH MASON
MY COMMISSION#GG 00393
Bonded Thru Budget Notary Services u'r oe EXPIRES:June 20,2020
Revised 07/15/2014 '�OFF�oQ` Bonded TWBudpetNotarySendces
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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