HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/05/20 Permit Number: ad "00S�
RECEIVED
JAN 0 6 2020
Building Permit Applicata W. Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: reroof
Address: 5907 KILLAREY AVE. FORT PIERCE, FL. 34951
Property Tax ID#: 1301-613-0083-000-4 Lot No.
Site Plan Name: Block No.
Project Name: 5907
TEAR OFF OLD ROOF AND INSTALL 5-V METAL,TORCH FLAT
vK ;
AM, _. - 0 a 5
FIR
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 5/12 Pitch
Total Sq. Ft of Construction: 3200 Sq. Ft.of First Floor:
Cost of Construction:$ 12000 Utilities: —Sewer —Septic Building Height:
ON
Name RICHARD ARTMAN Name: JOHN CANNON
Address: 5907 KILLARNEY AVE Company: JOHN CANNON
City: FORT PIERCE. FL State:_ Address: 7901 CITRUS PARK BLVD
Zip Code: 34951 Fax: City: FORT PIERCE State: F
Phone No. Zip Code: 34951 Fax: 7724680272
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 CCC1330664
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.
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."
i ature of Owner/Lessee/Contractor as Agent for Owner Si ature of Contractor/License Holder
STATE OF 171_01�IDA STATE OF FLORIDA
COUNTY OF ''�t • \,I-)--%"', COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Co day of S°�`r\ 20ap by this s'o day of-3--•[ 20 ab by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced X2-�p L Produced 'fir L 0"_
(Signature of Nota ublic-State of Florida) �vENs ignature of No - at�FIN6 G0022023 '?
Mpg\E G' 02202 , irs :u?y'•. MY COMMIS5 2020
' ecem 10�
Commission No. d1�2� Seams S\ON#GG 20% ` '? P\R�g:p� ber�ndenrrci
( pM\�'\s bet�6' jk9d mission No. N 6�1a
;::?:•;° •: MY ;Oe�m R°unde Bort ed7hN
ss
NotaMpuD F6��,`•,
N
e 60
REVIEWS FRONT f( ` '� SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER IEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19