HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: ( nom_, .
Permit Number: �-q!
RECEIVED
Building Permit Application JUN 0 5 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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: 100 /V Li ( -If S + r er Y 7
Legal Description: fu A I&A 8 6 4 ea.4n J R L(L ( i to f S f 4
PropertyTax ID#: ) % S —(001 — UO1f — 0 VV — 0 Lot No. y t �D
Site Plan Name: b t l o v- i .f 4?!(er f Block No.
Project Name: 9 V e/f XLrQv F —
Setbacks Front Back: Right Side: Left Side:
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Complete removal of existing material down to deck, renail to code, instal new inderlayment and
metal roof lC�� die c is -N-0 a . C fj tp)
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itiona work to b rtormed under this permit check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
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❑Electric ❑ Plumbing Sprinklers ❑Generator Roof I Roof pitch
Total Sq. Ft of Construction: S'7 S . Ft.of First Floor:
Cost of Construction: $ S r 7 ` S utilitieslnSewer Septic Building Height:
Q'1C 77:NE�iIL . E '# an3r-y ' ., ' , '
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Name e=lord*S lied' Name: Dnuala-c; F_ RnP
Address: 1900 AJ 41( t S# Company: Code Red Roofers
City: F i . I? C-4- State: C Address: 3341 SE Slater St.
Zip Code: ?)Y f'( 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.
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 re cording our Notice of Commencement.
'Srgnature:.of.`Owner/Lessee/C actor as Agent for Owner Signature of ontractor/License Holder,
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrume t was acknowledged before me The forgoing instru ent.was acknowledged before me
this 4 day of �N�- 26 f by this day of 20 II by
Name of person making statement Name of pe o making statement
Personally Known OR Produced Identification WE Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced t Produced
(Signature o ry//'--Pu11blic-State of Florida) (Signatu/ofN ublic-State of FloridaCommis ion No. V e6 ' �YPua Commis & CCoISEXIM
s� JOHN J. SAVARESE 4t N. JOHN J.SAVARESE
MY COMMISSION#GG260667 •MY COMMISSION#GG260667
PPE IRES:Se tember20,2022
w°Q -20,202
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION MA GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17