HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 5/3/18 Permit Number: I °� O`��
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Building Permit Application S i4giThttineCoaent
Planning and Development Services fY
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: 3604 Spatterdock Lane, Port St Lucie
Legal Description: The Preserve at Savanna Club-BLK 49 Lot 8 (OR 1409-329;3800-1523)
Property Tax ID#: 3425-706-0167-000-9 Lot No.8
Site Plan Name: Block No. 49
Project Name: Reroof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ry w ' ,,i:} : ,
Remove existing roof material to deck; renail to code. Install self adhered underlayment and new
shingle roof with new skylight.
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CONSTRUCTION INFORMATION .a
Additional work to be performed under this permit—check all ;ha apply:
HVAC _Gas Tank nGas Piping I Shutters LIWindows/Doors
ElElectric ❑ Plumbing Sprinklers n Generator El Roof 3 Roof pitch
Total Sq. Ft of Construction: 1787 S Ft. of First Floor:
Cost of Construction:$ 10,275.00 Utilities: _Sewer El Septic Building Height: 12'
OWNER LESSEE
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..�., dM '' � CONTRALTO
Name Mary McGinn Name: Douglas E Roe
Address:3604 Spatterdock Lane Company: Code Red Roofers Inc
City: Port St Lucie State:FL Address: 3341 SE Slater St
Zip Code: 34952 Fax: City: Stuart State:FL
Phone No.772-359-1231 Zip Code: 34997 Fax: 772-287-7763
E-Mail: Phone No. 772-287-2829
Fill in fee simple Title Holder on next page(if different E-Mail: becky@coderedroofers.com
from the Owner listed above) State or County License: CCC1326574
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 your Notice of Commencement.
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Signatur Owner/Lessee/Contractor as Agent for Owner Signature of Contras" /License older
STATE OF FLORIDA STATE OF FLORIDA ,
COUNTY OF 4:14h4 COUNTY OF //A�-' V1
The forgoing instrume t 1ti ac l nowledge efore me The forgoing instrum nt was acknowledgeJl3fore me
this day of V l 20f by this O day of 20 / by
Al /U c' t (/1 Y (CLS r
Nam of person making statement a e of person making statement
Personally Known OR Produced Identificatiork' Personally nown . OR Produced Identification
Type of Identificaq Type of Identification
Produced 1. L Produced
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/l''Gar_'_ 4 ' 1 o i jr.-__
(Signature•f Notary Public-State of to (Sign. ur- of Notary Public-Sta a of ori a)
Commissi No.oh * Qr'O k` (Seal) Commission No. 0+� `� t • . _ CARESTIy0
`31,, "> REBECCA RESTIFO �Pi�e`° REEOM 1SS10N#GG9ia,
o MY COMMISSION#GG91863 ' a. lIP,.M' g:May 11,2021
V:7: EXPIRES:May 17,2021 3 iv4 ;;:se Eftwu `s
REVIEWS SUPERVISOR PLANS VEGETATION IU TLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17