HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/03/20 Permit N ber• _ l-0
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Building Permit Ap IicationN zo2o
Planning and Development Services Permi�tiitg iDepari:i`t ent
Building and Code Regulation Division St. Lucid' County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: reroof
Address: 1503 E EASY ST. FORT PIERCE FL. 34982
PropertyTax ID#: 3403-805-0083-000-2 Lot No.
Site Plan Name: TERRY ENGLISH Block No.
Project Name:
TEAR OFF SHIMGLE AND INSTALL NEW 5V METAL
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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 " YJ),?J Pitch
Total Sq. Ft of Construction: 4000 Sq. Ft.of First Floor:
Cost of Construction:$ 19000. Utilities: _Sewer _Septic Building Height:
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Name TERRY ENGLISH Name: JOHN CANNON
Address: 1503 E EASY ST Company: JOHN G CANNON
City: FORT PIERCE FL State:_ Address: 7901 CITRUS PARK BLVD
Zip Code: 34982 Fax: City: FORT PIERCE State: F
Phone No. Zip Code: 34951 Fax: 772=468-0272
E-Mail: Phone No 772-468-0202
Fill in fee simple Title Holder on next page(if different E-Mail JGCANNONROOF@ICLOUD.COM
from the Owner listed above) State or County License CCC133066789
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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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."
na re of Owner/Lessee/Contractor as Agent for Owner Sign ure o tractor/License Holder
STATE OF FLORIDAJI STATE OF FLORMO
COUNTY OF COUNTY OF
The for oing instru e t was acknowledged before me The forgoing instr nt was acknowledged before me
this day of 20��by this day of 2& by
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Name of person making statement. Name of perso aking statement.
Personally Known / OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
60
(Signature of ary Public-State of Florida (Signature of NiVary Public-State of Florida)
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Commission No. "•°bs': AUDREY HREY ; , •e�: AUDREY B.Ht�ttiY t
1�' Commission No. *_ *_ COMMISSION GG3 0817
MY COMMISSIOfV 1k GG 300817
' :o EXPIRES:March 6,2023 EXPIRES:March 6,?_023
F,F;.• Bo ided Thru Notary Publit Underwriters, I iru o ry un is Un a writers ly
REVIEWS �Mw U-ER ISOR PLANS VEGETATION SEATURTL ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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