HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr��
Date: 12-2-2019 Permit Number:
• -o
-� Building Permit Application
Planning and Development Services Goa �O
Building and Code Regulation Division �o4d
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT TYPE:Re-Roof
-PROPOSED IMPROVEMENT LOCATION':
Address: 380 SE CELESTIA CT. PORT ST. LUCIE, FL
Property Tax ID#: 3419-540-0081-000-5 Lot No.27
Site Plan Name: --- Block No. 45
Project Name: LISI RE-ROOF
-DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF. RE-NAIL PLYWOOD WITH 8D RING SHANK NAILS. INSTALL POLYGLASS
POLYSTICK MTS TO CODE. INSTALL 2X2 DRIP EDGE TO CODE. INSTALL 26 GAUGE 1"NAILSTRIP STANDING
SEAM METAL ROOF TO MANUFACTURER'S SPECIFICATIONS.
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 Pitch
Total Sq. Ft of Construction: 2300 Sq. Ft.of First Floor:
Cost of Construction:$ 12,425.00 Utilities: —Sewer _Septic Building Height: 10'
'OWNE'R/LESSEE:° CONTRACTOR'.
NameJOSEPH A LISI Name:DAVID CAPPS
Address:380 SE CELSTIA CT. Company:FLORIDA ROOFING SERVICES
City: PORT ST LUCIE State:_ Address:8470 SE DHARLYS ST.
Zip Code: Fax: City: HOBE SOUND State:FL
Phone No. Zip Code: 33455 Fax: 772-545-0643
E-Mail: Phone No561-427-9286
Fill in fee simple Title Holder on next page(if different E-Mail FLORIDA.ROOFING.SERVICES@GMAIL.COM
from the Owner listed above) State or County License CCC1328967
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.
SUPPLEMENTALCONSTRUCTION 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 YQM NOTICE OF COMMENCEMENT."
Si ure o wn / essee/Contractor as Agent for Owner Signature of Contractor/LicenaOolder
STATE OF FLORIDA STATE OF FL -IDA
COUNTY OF M aA� COUNTY 01 AY �
The forgoing instrument was acknowledged before me The for ing instment was acknowledg�efore me
this A-( r day of C P n.� (2er .20A by thi ay of 20 I by
Nam f pers n making statement. Warre of person makingtatement.
Personally Known OR Produced Identification V**' Personally Known I/taOR AAWeRSKI _
Type of Identification Type of Identification =�*N o<<;=, NotaryPublic-StateofFlorida
Produced FL (7(c. 's �tCcinss� Produced _` • • • Commission#GG 094114
1 onded hough Nlato al Notary AO21 sn.
(Signature of ry Public- ignature of Notaf Public-State of Florida)
,.�;;;'�1%,�:No(ta@JOYCE R KOLLER
Commission No. P �, al ublic-State of Florid mmission No. (Seal)
•= Commission M GG 182741
''o- •��� My Commission Expire
nn� prl
REVIEWS FRONT LAMS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.