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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/13119 Permit Number.
RECEIVED
COUNTY
a •
_ _ _ _ _ v Building Permit Applicat on NOV 15 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FC 34982 X
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
I PERMIT TYPE: Roof Repair
I PRO.P,.OSED lMP'ROUEMENT LOCATfON: _
Address: 6707 Woodsmere'Way Fort Pierce,FL 34951
Property Tax ID#: 1301-607-0372-000-8 Lot.No. LOT14
Site Plan Name: 6707 Woodsmere Way Fort Pierce,FL 34951 Block No. BLK 86
Project Name: 6707 Woodsmere Way Fort Pierce,FL 34951
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DETAILED Df5681RT-0 OF WORK:
Shingle Repair and Low slope Repair.8sgs 0/12 Modified Bitumen being replaced with Flintlastica`Modified
i' Bitumen FL2533-R22 and 1.33 sqs 3/12 of asphalt shingles being replaced with GAF Timberline HD®Shingles NOA
No •16-0811.11 and Tarco Roofing Synthetic Roof Underlayments FL16884-114
CC}NSTRUCTION INFORi1lIATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical Gas Tank —Gas Piping ,Shutters Windows/Doors
_Electric _Plumbing _Sprinklers _Generator X Roof Pitch
Total Sq. Ft of Construction: 2,225 5q.Ft,of First Floor: 2,225
Cost of Construction:$ 4465 Utilities: _Sewer i Septic Building Height: 15 ft
IJIIUNER/LESSEE: CONTRACTOR:
Name 3helva J.Cox Name: David Hambley
Address: 6707 Woodsmere Way Company:XLR8 Roofing&Construction LLC
City: Fort Pierce, State: FL Address:400 Specialty Pt
Zip Code- 34951 Fax: City: Sanford state: FI
Phone No. (772)359-2791 Zip Code: 32771 Fax:
E-Mail: shelvajcox@att,net Phone No 321-363-387T--
Fill in fee simple Title Holder on next page(if different E-Mail info@xlr8roofing.com
from the Owner listed above) State or County License CCC1331278
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,INFORMATION:
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."
Signature of Owner/Lessee/Contractor s Agent for Owner Signature of Cont actor/ icense Holde
STATE OF FLORIDA— STATE OF FLORIDA
COUNTY OF V" > COUNTY OF ' Cj l oj 6
The forgoing instrument was acknowledged before me The for oing instrument�was acknowledged before me
this 'day of 20 by �� this ay of 20��by
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Na a of person making statement. �o r� Nartle o person making statement.14
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Personally Known OR Produced Id kjj 1 �� Personally Known i/ OR Produced Identific r
Type of Identification uo�o�`��` Type of Identification ooPo= �
Produced Produced �01�u ... ........
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917,
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(Signature of Notary Public-
/Stat a Tr ;ti�a° (Signature of Notary Public-State of
Commission No. rnrn "I
"I� '\ Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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