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HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED © I Date: Permit Number: RECEIVED Building Permit Application APR 2 5 2019 Planning and Development Services ST. Lucie Count Permittin Building and Code Regulation Division . y� g 2300 Virginia Avenue,Fort Pierce FL 34952 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Roof „c _s� .. a t "�B 4r C a s�� r� �a %'4 � c.i�`a.- ��w •a �,,qw�� ��,. 3 � .� �.,,�,�a3v�. � �.�'"'a�} ... Address: �0y tit,4+t-CJ LV c en ( e_e. P4 3605 7 Legal Description: !-CN'I,GJ 1 SIC--4a ' '(H G GoH a0 Y-a-c-Ha, It P&"Le_ � SIO g /Fin Corr�n.on t�rneierJ PropertyTaxlD#: (466z2 - .561 -05915 - 0 Lot No. Site Plan Name: Block No. Project Name: t roe ' Zk -0-0 f Setbacks Front Back: Right Side: Left Side: ON WOI v ..�_, s g3 Complete removal of existing material down to deck, renail to code, instal new self adhered underlayment and shingle roof 's"thxR v ulfl IN Rv.:' lY, !FO s w. _...�. .......�. Additionalwork toe nertormed under this permit-check a ' apply: HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Do rs Electric 0 Plumbing Sprinklers Generator R1 Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction:$ -7f 4?0 utilities. _Sewer E]Septic Building Height: to n k sy a.,< Name ow4i s 8+'1 ,1 Name: nnunlag F. RSP Address: I L401 Ajt. ++(AJ. BLV O Company: Code Red Roofers City: dl (3-ee.GJ` State:Fi- Address: 3341 SE Slater St. Zip Code: P y S 7 Fax: City: Stuart State:FL Phone No. 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: iohn@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. 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 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. Signature of OwniW L ee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA. COUNTY OF COUNTY OF Grp, The f�ing instrume t was acknowledged before me The f�RQr oing instru ent was acknowledged before me this day of �j 26 by this ot� day of ir:t 20ji by Name of person making statement Name of pe o making statement Personally Known OR Produced Identification_d Personally Known OR Produced Identification Type of Identification Type of Identification Produced L la Produced (Signature f o Public-State of Florida) (Signature of ry ublic-State of Florida) Commis on NoV.. Commissi o. JOHN J. SAVARESE _ OI�O J.S '�ESE MY COMMISSION#GG260667 MY COMMISSION#GG260667 a �°EXPIRES:September 20,2022 F REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17