HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED P �Q
Date: Permit Number:
= ° = RECEIVED
Building Permit Application MAY 01 2019
Planning and Development Services ST. Lucie County, Permittin
Building and Code Regulation Division - —
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _
PERMIT APPLICATION FOR: Roof
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Address: 9 N(-+A-L f 13 L V 1)
Legal Description:A)t,-44l.C,J' thta lflcin a Inc., IPC-r[.z'l LstL/
&A a r-b y r G A-e- Conn�ri a.► -C l:c M��
Property Tax ID#: N 56 9— ig b 03 y 0 - J 0 0— G Lot No.
Site Plan Name: er;a.,,, yl?iL�t list�-, Block No.
Project Name:_ 114 G(Ct lilts:%
Setbacks Front Back: Right Side: Left Side:
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Complete removal of existing material down to deck. renail to code, instal new self adhered
underlayment and shingle roof
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Additional work toe performed under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers GeneratorRoof 3//2 Roof pitch
Total Sq. Ft of Construction: Sl k Sq. Ft.of First Floor:
Cost of Construction:$ 3750 Utilities: Sewer Septic Building Height: , to
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Name r%&^_ GK U oc Name: I)ni inlay F. RnP
Address: f S L-1 Al'.CPHAX r3L V O Company: Code Red Roofers
City: p fin &&('k State: F L Address: 3341 SE Slater St.
Zip Code: V9SX 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(_WCoderedroofers.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 our Notice of Commencement.
Signature of Owner/Lessee Contrac or as Agent for Owner Signature of C ractor/License Holder
STATE OF FLORA STATE OF FLORIDA
COUNTY OF - V �.A Q COUNTY OF /yJ ar4
The rgoing instrumen was acknowledged efore me The forgoing instrument was acknowledged before me
this V day of �'( 20 D�by this c30day of r� 1 20 /`�by
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Name of person making stat ment Name of erson making statement
Personally Known OR Produced Identification dt- Personally Known Oc_ OR Produced Identification.
Type of Identification Type of Identification
Produced FL PC Produced
(Signature of ary ublic-State of Florida) (Signature rq !�WlPublic-lPuState of Florida)
Commissi o. (� (Seal) Commi ion No. 6 C) I
EREVIEW
HN J.SAVARESE
o,fy"!!o J. SAVARESE COMMISSION#GG260667.
Uy9�, MY COMMISSIO #GG260667 IRES:S ptem er 2 ,
REVIEWS FROM .,,,P°z�ifN[5Septe b��N� OR PLANS VEGETATION
COUN REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17