HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ile Permit Number:
• RECEIVED
Building Permit Applic t'09AN 16 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie CGUfAyt Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof- S�\'\h `�
PROPOSED IMPROVEMENT LOCATION:
Address: 7 Equador Court, Ft. Pierce, FL 34951
Legal Description:
Property Tax ID#: 30 1 ' 13' O Lot No.
Site Plan Name: Block No.
Project Name: P110 Leavy
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove current shingle roofing system, re-nail deck to code, install synthetic felt underlayment,and install new Architectural Shingle
roofing system.
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC F]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric ElPlumbing Sprinklers E]Generator Z Roof 312 Roof pitch
Total Sq. Ft of Construction: 1600 Sq. Ft. of First Floor: 1466
Cost of Construction: $ 5895 Utilities: Sewer Septic Building Height: 1-Story
OWN ER/LESSEE: CONTRACTOR:
Name Kathryne Leavy Name: Christopher Dutruch
Address:7 Equador Court Company: MAC MAR, LLC/My Affordable Roof
City: Ft. Pierce State:FL Address: 1585 Kennesaw Drive
Zip Code: 34951 Fax. City: Clermont State:FL
Phone Nc 7 T 2.- Zip Code: 34711 Fax: 772-905-8694
E-Mail. Phone No. 772-206-3344
Fill in fee simple Title Holder on next page(if different E-Mail: wendell@myaffordableroof.com
from the Owner listed above) State or County License: CCC#1331305
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:
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 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License older
STATE OF FLORIDA ` / / STATE OF FLORIDA
COUNTY OF ' U C f �{ COUNTY OF vc)
The f r pj ,g instru ent was acknowledged-before me The forging instru ent was acknowledg d efore me
this ay of h(, ` 20 by this( !r day of C/ V 20 .'by
Name of person making statement Name of pers making statement
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida�b ► �ett (Signature of Notary Public-State of Florida)
Ro AMY Roberta Bennett
Commission No. USLIC
T-A'M ARIDA Commission No. _g STATE
l wmair FF952012s4 1�i Comm#FF952012
reo V201202101
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17