HomeMy WebLinkAboutBuilding Permit Application -i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit NumbPAC&Yf 90'7 ® dS•
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Building Permit Application
JUN
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue,Fort Pierce FL 34982 yr
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: Tile Re-Roof
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Address: 8765 Bally Bunion Road, Port St. Lucie, FL 34986
Property Tax ID#: 3334-600-0023-000-4 Lot No.20
Site Plan Name: Block No. PUD III
Project Name: Jones Residence
Remove existing the roofing system and install new Boral Barcelona 900 Frontier blend tile roofing system;product#1 HBCS3500
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator Roof 6/12 Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 75,000.00 Utilities: —Sewer —Septic Building Height:
0' `.
21
Name Paul&Susan Jones Name:Troy Glowth
Address:8765 Bally Bunion Road Company:Advanced Metal Rooting Inc. D/B/A Brilliant Roofing
City: Port St.Lucie State:_ Address:4149 SE Salerno Road
Zip Code: 34986 Fax:N/A City: Stuart State:FL
Phone No.908-787-6045 Zip Code: 34997 Fax: N/A
E-Mall:N/A Phone N0772-678-6654
Fill in fee simple Title Holder on next page'(if different-'. E-Mail Reports@brilliantmail.net
from the Owner listed above) State or County License
CCC1327906
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.
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. 'it�' �DESIGNER/ENGINEER: MORTGAGE'COMPANY: ✓Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 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."
6
Signature of Owner/Less a/Contractor as Agent for Owner Signature of Coir•t actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFMaran COUNTY OFMartin
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this 7th day of Jana 20,11 by this 7th day of June ,20}1 by
Troy Glowth Troy Growth
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signaturd,ofotary Public-S t�. " �arida4EGANJEANETTE1-NN11 lignature of N t Public-S4t
'M a, Notary Public-State of Florida � MEGAN JEANETTE LAONRENEE
i, as • ommisston q GG 097477 GG097477 r° `'`' y Public-State of Florida
Commission No. GG097477 • . '� Sea omm.ExpiresApr24,2021misston No.
•1. � ^•5S" �Cmmission N GG 097477
ac cd yopded through Nallon�l NotaryAso. :; QP My Comm.Expires Apr 24,2021
In,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.21 /19