HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I( I I 1� Permit Number: N1 11d143 143
(011103 TA R_:4 D�j
Building Permit Applicatf'_ nNOv 16 2017
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 XX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 308 South Erie Drive, Ft. Pierce 34946
Legal Description: Tall Pines Mobil Home Community-See attached
Property Tax ID#: 1433-210-0003-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Secor
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove entire 17sq of existing roof shingles system. Install new GAF Timberline Dimensional Shingle
with new flashing, boots,jacks and pipe vents.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check all appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 19 sqs Sq. Ft. of First Floor:
Cost of Construction:$ 10,154.00 Utilities:[]Sewer 0Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Kent Secor Name: Crystal Anderson
Address:308 South Erie Drive Company: Olneya Restoration Group, L.L.C.
City: Ft. Pierce State:FL Address: 4253 SW High Meadow Avenue
Zip Code: 34946 Fax: City: Jensen Beach State: FL
Phone No.772-801-3166 � Zip Code: 34990 Fax: 772-925-8417
E-Mail:Kfsd I a'I43 �0A ' D CON) Phone No. 772-222-5019
Fill in fee simple Title Holder on next page(if different E-Mail: Ilawrence@olneya.Com
from the Owner listed above) State or County License: CCC1330974
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
�SU,PPLEMENTAL CONSTRUmCTI.ON LIEN( LAW IN.fO3R=MATION,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: m 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:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 our Notice of Commencement.
0 \JCA 1
Signature oT Owner/Lessee/Contractor as Agent for Owner Sign ure of Contractor/License Holder
STATE OF FLORIWat'(\
STATE OF FLORID COUNTYOF COUNTY OF i�Cln
The or oing instrun en,tlIwas acknowledged before me The for oing instrum nt�{as acknowledge before me
this I� day of V 20_D by this-day of V 20D by
Name of person making statement Name of person making statement
Personally Known- X,—OR Produced Identification Personally Known Y OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(SignatutUf Notary Public-State of Flor'cl gnature otary Public-State of Florida )
MEGANJEANETTELAWRENC `
Commission NO Q � `°ayp ,@al)rotaryPublic-state of Florid C mission NO (� trar'a�'••., (�P�IJEANETTELAWRENCE
��• . Commission#GG 097477 a°��; =, NotaryPublic
-StateofFlorida
',u�• ?E My Comm,Expires Apr 24,20 1 ; ' Commission;GG 097477
�';,,•''
Hord.
III do National Notary As n. My Comm.Expires Apr 24,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17