HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: °t Permit Number:
RECEID
Building Permit Appli ation Number:-
:
Planning and Development Services Lucie County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMITTYPE:re-roof - metal 5v crimp
{ � � � l /f C 4
RROPOSED INtPROVEMENT�L,OCATIO0N '�X }` �y
Address: 161 NE Caprona Avenue Port St. Lucie FL 34984
Property Tax ID#: 3419-530-0233-000-5 Lot No.11
Site Plan Name: Block No. 40
Project Name:
DETAILED,DESCRIPTION RK",
Remove existing roof system down to plywood. Re-nail to code. Install Titanium peel and stick underlayment
Install 26GA 5V Crimp metal roof system to code Iyi S{x l l SJ Ie So icr G44i C kt l
CONSTRUCTION INFORMATION
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: 32 squares Sq. Ft.of First Floor:
Cost of Construction:$ 13,813.00 Utilities: —Sewer _Septic Building Height: 1
01NNER%LESSEE �, CONTRACTOR' {'
NameJames Short Name:Jeffrey Hampson
Address:161 NE Caprona Avenue Company:St Lucie Roofing
City: Port St. Lucie State:_ Address:1913 SW South Macedo Blvd
Zip Code: 34984 Fax: City: Port St Lucie State:FL
Phone No.772-201-5452 Zip Code: 34984 Fax: 772-207-7354
E-Mail: Phone N0772-344-7193
Fill in fee simple Title Holder on next page(if different E-Mail Jeffh.sir@gmail.com
from the Owner listed above) State or County License CCC1 330816
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.
, 3 �,\�. � �,�>
SUPPL€ME�VT/ L CONSTRUCTION"LEEN=LAW INFORMATION"
M ;3.
$.... fl r U
J ,
.l.
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. W YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owneri L se /Contractor as Agent for Owner Signature of Co ra or cense Holder
STATE OF FLORIDA J I STATE OF FLORIDA�J "
COUNTY OF &� 1_uc f 6 COUNTY OF (ic•cG(-c-,
The forgoing instrument vyas acknowledged before me The for(Today
instrument was acknowledged before me
this day of 0 20g by this day of �2( 26 by
Name of person makink statement. Name of person making statement
Personally Known 11�OR Produced Identification Personally Known�OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. ,, COKSg�hNCE PROULX
Public Commission No. :t�Y°JB,, CO
;I" 4",state of Florida-Notary - �1�NCE PROULX
Commission# GG 258328 �ocState of Florida•Notery Pubil
Ex ires •� Commission #Cip 26932
=• - %y o:
`"S' 202 �,,orn �� S on Expires
REVIEWS FRO '"'�� ` Septet ber 16, " "` Septe
PLANS VEGETATIO
COUN —REVIEW REVIEW REVIEW REVIEW REVIEW REVIE
DATE
RECEIVED
DATE
COMPLETED
ev.