HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �. _ .�n Permit Num ere
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• JAN 3 2020
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------- -- Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division Wit, Lucie County, �'L
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:RESIDENTIAL REROOF
PROPOSED IMPROVEMENT LOCATION
Address: 2002 NW ROYAL FERN CT.
Property Tax ID#: 4425-605-0015-000-2 Lot No.
Site Plan Name: RUBIN -DEEGAN Block No.
Project Name: RUBIN- DEEGAN
"DETAILED DESCRIPTION OF WORK:
RESIDENTIAL REROOF TILE TO TILE
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 6:12 Pitch
Total Sq. Ft of Construction: 54 SQUARES Sq. Ft.of First Floor:
Cost of Construction:$ 48,200.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: {; CONTRACTOR:
Name RAYMOND&BONNIE DEEGAN Name:ARTHUR FRANK
Address:2002 NW ROYAL FERN CT. Company:ROOFING SYSTEMS OF FLORIDA, INC.
City: PALM CITY State:_ Address:583 105TH AVE N SUITE 9
Zip Code: 34990 Fax: City: ROYAL PALM BEACH State:FL
Phone No. Zip Code: 33411 Fax:
E-Mail: Phone No 561-795-5566
Fill in fee simple Title Holder on next page(if different E-Mail ADMIN@MYROOFSYSTEM.COM
from the Owner listed above) State or County LicenseCCCO29554
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 N THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y R LENDElt OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT."
Signatu Owner/Lessee/Contractor as Agent for Owner Signature 6 tAntractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF m GC� COUNTY OF_9
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this 7 day of 2o�by this _ day of 20Z.0 by
Name of person making ZOR
nt. Name of person making statement.
Personally Known VroducedIdentification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produce Produced
Felicia Latchaw
ignature of Notary Pu lic-Std� ra! IrpS:FebUa ry13 0J2i ature of Notary Public`SQ orida)
- Felicia Latcaw
,��� �onded thru Aaron N t mm _ �=
Commission No. 41111" Seal ion No. - _
%TP8iDn#GG1&5434Tres:Febuary 13,2022
� ;��� Bond
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
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