HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s u
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 t/
PERMITTYPE: ReRoof
PROPOSED IMPROVEMENT LOCATION:
Address: 5702 Raintree Trail
Property Tax ID #
Site Plan Name:
3402-610-0149-000/2
Project Name: Katelvn Meadows Shed Permit
Lot No. 4
Block No. 76
DETAILED DESCRIPTION OF WORK:
ReRoof of SHED usinq shinqles FL5444-1313 in coniunction with permit # SLC 1810-0664
Tearinq off asphalt shingles; 30# felt underlavment
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_Electric _Plumbing _Sprinklers _Generator V Roof yJ12 Pitch
Total Sq. Ft of Construction: 218.91 Sq. Ft. of First Floor:
Cost of Construction: $ 155.91 Utilities: -Sewer _Septic Building Height: 10'
OWNER/LESSEE:
CONTRACTOR:
Name Katelvn Meadows
Name: William B_ Edwards
Address: 5702 Raintree Trail
Company: Storm Team Construction
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-249-9745
Address: 4050 S US Hwv 1
City: Jupiter State: FL
Zip Code: 33477 Fax:
Phone No 740-274-3004
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail permits@stormteamusa.com
State or County License CCC1331451
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
'IV_ Not Applicable
Address:
COUNTY OF %3z lon %3f[t_&�
Address:
The forgoing instrument was acknowledged before me
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
BONDING COMPANY:
Name:
A,�Not Applicable
Address:
Type of Identification
Address:
Produced
City:
City:
(Signature - t f I rids )
Zip: Phone:
�✓' Notary Public State of 5i
Commission In Pitlm1li`o')
Zip: Phone:
d' E%Commission GG 303933
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF balm %3P.a —L
COUNTY OF %3z lon %3f[t_&�
The for oing instrum nt was acknowledged before me
Aper
The forgoing instrument was acknowledged before me
this day of I , 2011 by
this _ day of 4m I , 20A by
6t,1lram 8, Eolwetl'A
W114,41n S. �_dwaeds
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
/
(Signature of Nota Public- Sta a of Florid
(Signature - t f I rids )
Commission N Publicstg�eol lorida
fle s Kevin P1Rlfidn
�✓' Notary Public State of 5i
Commission In Pitlm1li`o')
*#0Notary
My Commission GG 303933
d' E%Commission GG 303933
ExOires 02119/2023
qp p'es 02N9/2023
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