HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
bl }DECEIVED
Building Permit Applicatio N, 9 2099
Planning and Development Services
Building and Code Regulation Division ST_• L.u&+E CponEy, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Re-Roof g�•\ `�
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Address: 2821 Seneca Ave, Fort Pierce, FL 34946
Property Tax ID#: 1428-702-1148-000-8 Lot No. 7/8
Site Plan Name: Seneca AV Block No. 54
Project Name: Seneca Ave
,
Tear off existing roofing, re-nail decking, install peel-n-stick underlayment, install shingles
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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 3�.�l Pitch
Total Sq. Ft of Construction: -5-7p— Sq. Ft. of First Floor:
Cost of Construction:$ 6,950.00 Utilities: —Sewer —Septic Building Height:
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Name Seneca Ave LLC Name: Robert Diedrich
Address: 9516 Shadow Ln Company: Leeward Roofing
city: Fort Pierce State: �'L Address: 9577 Gator Drive, Unit#4
..,Zip Code: 34951 Fax: city: Sebastian State: F�
Phone No. '771-- q61 —/-)/g Zip Code: 32958 Fax: 772-589-2429
E-Mail:- Phone No 772-589-2400
Fill in fee simple Title Holder on next page(if different E-Mail leewardroofing@bellsouth.net
from the Owner listed above) State or County License CCC#1326409
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.
Sl1P EIVf DebNS RUt IQN [EI l 4IN INFQRM�A'A1C}lU,.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY:
Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: y Not Applicable BONDING COMPANY: 54 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT."
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Signat re dt Owner/Lessee/Contractor as Agent for Owner SignatdrEfof ontractor/Lice se Holder
STATE OF FLORIDA STATE OF FLORIDA n
COUNTY OF ,S COUNTY OF �rJra.1i u2/
The for oing instrume t was acknowledged before me The forgoing instrume t was acknowledged before me
this day of_'OGaO-PP 20& by this l��Iay of 6a1A-Acr— 201 by
Name of WersonYiiaking statement. Name of person making statement.
Personally Known�`Z_OR Produced identification_ Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public- a`�o orinie L.McNally ( nature Q �;Public-
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My Commission GG 182024 ;iq!!�
Commission No. Q �$„�o�� (� �(gs ozroar2oz2 o missio MY COMMISSION# ��� 8
=•;� January 2%,20 21
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
COMPLETED
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