HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: X9.6 \ti o Permit Number: :yt 5S-C. ,
RECEIVED
Building Permit Application MAY 10 11019
Planning and Development Services
Building and Code Regulation Division ST. Lucia bouncy, Permittin
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITTYPE: Re-Roof
PROP.OSED.`IPOR'
_0V E-MENT•LOCATION
Address: 14148 Cisne Cir Fort Pierce, FL 34951
Property Tax ID#: 1306-500-0143-000-1 Lot No. 7
Site Plan Name: Block No. 48
Project Name: 14148 Cisne Cir Fort Pierce, FL 34951
.DETAI,LED,,'DESCR,IPTION OF-WO.RK-
Complete tear off and re-roof of residential property. Removing Shingles, placing_with Shingles.
Certainteed Shingles FL5444-1113, Grip-Rite Shinglelayment FL12510-R7, 27 Sqs,4/12 Pitch
,•CONSTRUCT,ION I,NFORMATION':
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator X Roof 4/12 Pitch
Total Sq. Ft of Construction: 2285 Sq. Ft.of First Floor: 2285
Cost of Construction:$ 5000 Utilities: —Sewer —Septic Building Height: 15ft
OWNER/LESSE'E:' ' CONTRACTOR.
Name Kenneth L Horn Name: David Hambley
Address: 14148 Cisne Cir Company:XLR8 Roofing&Construction LLC
City: Fort Pierce, State: FL Address:400 Specialty Pt
Zip Code: 34951 Fax: City: Sanford State: FI
Phone No. 772-595-0301 Zip Code: 32771 Fax:
E-Mail: kenhorn1349@gmail.com Phone No 321-363-3871
Fill in fee simple Title Holder on next page(if different E-Mail info@xlr8roofing.com
from the Owner listed above) State or County License CCC1331278
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.
SU,.PPLEMENTAL.CONSTRUCTION LIEN LAW I,NFORM,ATIO.N.;
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 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."
Signature of Owner/Lessee/Contractor as 9 nt for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF COUNTY OF_�`l-,)0(G
Thefor i g instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiso(` 9y of L 20 ICI by DAµDg thiso y of AjQe4L 20[ft by _
LC r
\�t D DAM R LEY
Name of person mement. Name of person making statement.
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Personally Known OR Produced Identificat' ersonally Known � OR Produced Identific
Type of Identification ���� ti ca Type of Identification
Produced �o�o� ���� Produced
q�z �cv�o�Q
(Signature of N ublic-State of Flor' a ��' (Signature of No ub ic-State of F
c:'o
Commission No. S; -
- Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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