HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: AUG.9,2019 Permit Number: 1
► RECEIVED
Building Permit Applicatio ri
Planning and Development Services AUG 9 2019
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 X
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: REROOF
Irv,", 11101AF h,
Address: 5565 BALD CYPRESS TR.
PropertyTax ID#: 1407422-0005-000-3 734 40 N1/2 OF NE1/40F NW1/4 OF SE1/4 Lot No.
Site Plan Name: 5565 BALD CYPRESS TR. Block No.
Project Name: KEVIN PANRISH
TEAR OFF SHINGLES AND INSTALL 5V-METAL
. .
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 5/12 Pitch
Total Sq. Ft of Construction: 2500 Sq. Ft.of First Floor:
Cost of Construction:$ 12000.00 Utilities: —Sewer —Septic Building Height:
OM5 01
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Name KEVIN PANRISH Name: JOHN G.CANNON
Address: 5565 BALD CYPRESS TR. Company: JOHN CANNON
City: FORT PIERCE FL State:_ Address: 7901 CITRUS PARK BLVD
Zip Code: 34951 Fax: City: FORT PIERCE State: F
Phone No. 77-201-1771 Zip Code: 34951 Fax: 772-468-0272
E-Mail: Phone No 772-468-0202
Fill in fee simple Title Holder on next page(if different E-Mail JGCANNONROOF@ICLOUD.COM
from the Owner listed above) State or County License CM 330664
ff 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.
R
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 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
WIITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
S nature f Owner/Lessee/Contractor as Agent for OwnerSigna re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA _
COUNTY OF � COUNTY OF LL)ot
The going inst ent was acknowledge efore me The oing instr ent as acknowledge efore me
this day of 26 1 by this day of 20 by
Name of person marring statement. Name of person makin statement.
Personally Known OR Produced Identification V/ Personally Known OR Produced Identification
Type of Identifin Type of Identific
Produced lr U Produced
6 AA
f V •
(Sigliat re of (Signature of Not a.afilc�id
KAREN S. NIELSEN // KAREN S. NIELSEN
Commission N �:°��YPUB��%State of Florida- Public >" °�
j+j Commission No. =_° ��_State of Florid gI ry Public
_. om ssion # G 107484 mission # GG�207484
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My Commission Expires
-�iOP F�"\ My Commission Expires
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j8FIe 12, 2E122
REVIEWS FRONT ` ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 1
RECEIVED
DATE
COMPLETED
Rev.ZI 7119