HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� °�
Date: V ( � Permit Number: 0 lJ aL, q
FRECIEIVEDBuilding Permit Application0 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
PERMITTYPE: Tile Re-Roof
PROPOSED IIV�gPt v;1/EMEITLQCATI(1N', _ ka ° x
Address: 8921 First Tee Road, Port St. Lucie, FL 34986
Property Tax ID#: 3334-500-0039-000-2 Lot No.28
Site Plan Name: Block No. The Reserve
Project Name: Duncansons
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DETAILED DESCRIPTION OF WORK
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Remove existing roofing system and install new Eagle tile roofing system
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CONSTRUCTION INFORMATION ' x E x f
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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 I� �Z Pitch
Total Sq. Ft of Construction: L4 , cc) I Sq. Ft. of First Floor:
Cost of Construction: $ 70,000.00 A Utilities: —Sewer _Septic Building Height:
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OW" NER/LESSEE xa �� CONTR/�CTOR px
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Name George&Carole Duncanson Name:Troy Glowth
Address:8921 First Tee Road Com pa ny:Advanced Metal Roofing, Inc. D/B/A Brilliant Roofing
City: Port St. Lucie State:_ Address:4149 SE Salerno Road
Zip Code: 34986 Fax: City: Stuart State:FL
Phone No.NSA Zip Code: 34997 Fax:
E-Mail:N/A Phone No 772-678-6654
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 CCC1 327906
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 LIEN LAWNF(3RMATI�N {� �«4 $
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DESIGNER/ENGINEER: V. 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 LEN ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature o wner/Lessee/Contractor as Agent for Owner Signature/6f Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFMartin COUNTY OFMarun
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20_JL?� by thidLd day of 20n by
Troy Glowth Troy Glowth
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
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(Signature of No ary Public-State of Florida) (Signature of Not r Public-State of Florida)
Commission No. GG097477 (Seal) Commission No. GG097477 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
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_. Notary Public-State of Florida •� Commission;GG097477
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