HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE PFO M PST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f
Date: ! Permit Number:
RECESVED
_.._ DEC 12 2019
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residenti
PERMITTYPE: Roofing
PRO POSEDIMJ?ROVEMENT LO,CATIQN; ;
Address: 5508 VVinterGarden PKwy
Property Tax ID#: 1301-614-0085-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
"DETAILED DESCRIPTION OF WORK
Tear off existing shingle roof install new 5 V crimp metal roof over peel and stick see attached aprovals
peel and stick FL 12328-R8
Metal FL17022-R7
-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 ARoof Pitch
Total Sq. Ft of Construction: ` Sq. Ft.of First Floor:
Cost of Construction:$ 10000 Utilities: _Sewer _Septic Building Height:
;OWNER/LESSEE CONTRACTOR ;
NameMike&Dian Harrison Name: Richard Newland
Address:5563 Koblegard RD Company:Richie the Roofer
City: Ft Pierce State: /71 Address:905 13th st sw
Zip Code: 34951 Fax: City: Vergo Beach State:FI
Phone No.772-473-0748 Zip Code: 32962 Fax:
E-Mail: Phone No772-473-6197
Fill in fee simple Title Holder on next page(if different E-Mail nchieroofer@yahoo.com
from the Owner listed above) State or County License 20506
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.
`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."
ignature of Owner/Lessee/Contractor gent for Owner Signa ure of Contractor/License Holder
STATE OF FL O STATE OF FLORIDA /
COUNTY OF ('/ COUNTY OF
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REVIEWS FRONT ZONING S RVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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