HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number:
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RECEIVED
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Building Permit Application JUL 1 9 ''0"i9
Planning and Development Services ST, LLicle County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)4.62-1578 Commercial Residential X
PERMITTYPE:Re-Roof 5V Crimp Metal
PROPOSED IMPROVEMENT LOCATLON
Address: 1601 E. Easy Street Fort Pierce
Property Tax ID#: 3402-610-0625-000-3 Lot No.31,32&33
Site Plan Name: Block No. 921
Project Name: Indian River Estates
Remove existing roof system down to plywood, re-nail to code. Install Titanium peel and stick underlayment to code
Install 26GA 5V Crimp metal roof system to code
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CQ'ISTRUCTION I
ATIO
NFORMN:
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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 4/12 Pitch
Total Sq. Ft of Construction: 1693 Sq. Ft.of First Floor:
Cost of Construction:$ 15,000.00 Utilities: _Sewer _Septic Building Height: 1
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OWNER%LESSEE CONTRACTOR
NameAndrew Donnelly Name:Jeffrey Hampson
Address:1601 E Easy Street Company:St'Lucie Roofing
City: Fort Pierce State:_ Address:1913 SW South Macedo Blvd
Zip Code: 34982 Fax: City: Port St Lucie State:FLI
Phone No.772-240-8235 Zip Code: 34984 Fax: 772-207-7354
E-Mail: Phone No772-3447193
Fill in fee simple Title Holder on next page(if different E-Mail JeffH.SLR@GMAIL.COM
from the Owner listed above) State or County License CCC1330816
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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_.SUPPLEMENTAL CONSTRUCTION°UEN LAW INfORMATtON
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:'
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of C ntractor/License Holder
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STATE OF FLORIDAI STATE OF FLORID/ /
COUNTY OF �� CGt �- COUNTY OF J'Y�
The forgoing instrument was acknowledged before me The forgoing instru ent was acknowledged before me
this_L day of A to L i ,20� by this l K day of 20A by
Jeffrey Hampson Jeffrey Hampson
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Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known' OR Produced Identification i
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Flori a)
Commission No. (Seal) Commission No. (Seal)
St to of Florida-Nota y Public
REVIEWS FRONT ZONING SUPERVISOR PLANS VE r o "' on OVE
COUNTER REVIEW REVIEW REVIEW R F� S �rrtii�rls,Eo 2`EV
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DATE ,
RECEIVED
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DATE CONSTAN E PROULX
COMPLETED �o�"" "°4� StStH of Florid -Notary Public
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My Commission Expires
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Septemer 16, 2022
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