HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED M ((a
Date: August 6, 2019 Permit Number:
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Building Permit ApplicationpONt,, °�10�s
Planning and Development Services Lu i�COU17t. t
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xxx
PERMIT TYPE:Re-roof
'Ab POSED.IMPROUEMENT LOCATIQ`N
Address: 5813 DeLeon Ave. Fort Pierce, FL 34951
Property Tax ID#. 1301-613-0228-000-3 Lot No.13
Site Plan Name: Block No. 147'
Project Name: Curl Residence
DETAILED DESCRIPTION�OF'IIVORK 3 wx
C .
Tear-off existing Shingle roof, install Peel &Stick underlayment, and install metal panels.
C ' TRUCTINFORMATI14
ON
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: 4200 Sq. Ft.of First Floor:
Cost of Construction: $ 1 1 1 TQ CO Utilities: —Sewer —Septic Building Height: 10
ES
Name
a COfVTR"ACTOR:
NameMichael J & Kelly L Curl Name:Juan Martinez
Address:5813 DeLeon Ave Company:Total Roofing Systems Specialist
City: Fort Pierce State: FL Address:3201 SE Dominica Terrace
Zip Code: 34951 Fax:772-872-8033 City: Stuart State:FL;�
Phone No.772-872-8030 Zip Code: 34997 Fax: 772-872-8033
E-Mail:samira@totalroofingsystems.net Phone N0772-872-8030
Fill in fee simple Title Holder on next page(if different E-Mail samira@totalropfingsystems.net
from the Owner listed above) State or County LicenseCCC1330788'
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 LAW INfORIVMATIOA
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
city: State: City: State:
Zip: Phone Zip: Phgne:
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 WE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTA INANCING, CONSULT
WITH YOUR LEND_ER0R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO EMENT."
Signat of Owner/Lessee/Co ac Agent for Owner Signat of Contractor/Licen older
ATE OF FLORIDA TATE OF FLORI
COUNTY OF Gam/ COUNTY OF r P✓��
The forgoing instru ent was a knowledged before me The forgoing instru ent was a knowledged before me
this CD day of 520(4 by this day of U5 20M by
Name of person making statement. Name of person making statement.
Personally Known_ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary lic- tate of Florida) (Signature of Notary i;0fic-VaieofFloricla412
)
Commission No. GC, a�'-3d� (Seal) Commission o.Zi`03' 'Svl (seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
1rA pu'•. THERESAJAFFE
r"n"•. THERESA
Gr` NotaryPublic-State of Florida =0�0=
:? ��`. Notary Public State of Florida
61111 .1 Commission Y,GG 202301 to
Commission H GG 202301
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Bonded through National Notary Assn.
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"�Bonded through National Notary Assn.'