HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: 5�3� Permit Number:
-11 , =RECEIVEDBuilding Permit ApplicationPlanning 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: 3118 Scarlet Tanager CT. Port St. Lucie FL 34952
Legal Description:
EAGLES RETREAT AT SAVANNA CLUB PHASE 2 (PB 43-21) BLK 58 LOT 33 (OR 2732-514)
Property Tax I D#: 3424-702-0043-000-9 Lot No. 33
Site Plan Name: 3118 Scarlet Tanager Ct. Block No. 58
Project Name: SHINGLE TO SHINGLE& METAL ROOF REPAIR
Setbacks Front Back: Right Side: Left Side:
fDETAILED DESCRIPTION OF WORK:
RE ROOF SHINGLE TO SHINGLE AND REPAIR METAL PANELS
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11Electric 11PlumbingSprinklers ❑Generator R1 Roof 3:12 Roof pitch
Total Sq. Ft of Construction: 2'584 S . Ft.of First Floor:
Cost of Construction: $ Y-11144 1`�-.00 Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR
Name James T Roach Name: Javier Solis
Address: 79 Appletree Dr Company: SOLIS ROOFING CONTRACTORS INC.
Saugerties State: NY Address: 1033 SW Dalton Ave
Zip Code: 12477 Fax: City: Port St. Lucie State:FL
Phone No. Zip Code: 34953 Fax: 772-878-4097
E-Mail: Phone No. 561-662-6622
Fill in fee simple Title Holder on next page(if different E-Mail: SOLISROOFINGINC@GMAIL.COM
from the Owner listed above) State or County License: CCC1330147
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
r
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x 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.
Signatur of Owner/Lessee/Contractor as Agent for Owner Sign ture f Contractor/License older
STATE OF FLORID II STATE OF LOR ,fr tu
COUNTY OF 1,(.'tiZ1,� COU F �r (,L-
The forgoing instrurrient was acknowledge efore me The forgoing instrume t was acknowledged efore me
this_J_day of 20by this day of 20 /h
7S
C�m�S �t � C fav i Q
Name of person making statement Name of person aking statement
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produ d Produced
A
(Signature of Notary Public-Statp f Iorida) (Signature of Notary Public-Sta e f Florida)
r° •••.k4 MARIA MAJANO o Puec,� MARIA MAJANO
Commission No. * W;WSION i FF 181432 Commission No. a ' I(i$ IISSION i FF 181432
EXPIRES:April 4,2019 * EXPIRES:April 4,2019
o1'rEOF n��e Bonded Thru Budget Notary Services sj'°rEOF n�'7 Bonded Thru Budge)Notary Servkes
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17