HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JAN/17/2020 Permit Number: a.b0
RECEIVED
Building Permit Applica ion JAN 17 2020
Planning and Development Services
Building and Code Regulation Division ST. Lucie County,Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:ROOF -
a
PROPOSED IIViPROVEMENTLOCATIO _,
Address: 8303 Fort Pierce BLVD
Property Tax ID#: 1301-608-0123-000-1 LAKEWOOD.PARK-UNIT 8-BLK 92 LOT18(MAP 13/02N)(OR 1604-2115:3437-1679) Lot No.18
Site Plan Name: Block No. 92
Project Name: HORAN RE-ROOF
DETAILED DESCRIPTION OFWORK:
REMOVE AND REPLACE EXISTING SHINGLE ROOF WITH NEW SHINGLES AND UNDERLAYMENT
CONSTRUCTION INFORIVIATION:
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 4 IN 12 Pitch
Total Sq. Ft of Construction: 3,100 Sq. Ft.of First Floor:
Cost of Construction:$ 1 OK Utilities: —Sewer.' —Septic Building Height: 12
QWNER/LESS,E•E: CONTRACTOR:
Name George W Horan Name:RENE REYES
Address:8303 Fort Pierce BLVD Company:MYFLORIDA ROOFING CONTRACTORS
City: Fort Pierce ,FL State:_ Address:1170 17TH LANE
Zip Code: 34951 Fax: City: VERO BEACH State:FL
Phone No. Zip Code: 32960 Fax:
E-Mail: Phone N0772-453-7219
Fill in fee simple Title Holder on next page if different E-Mail CS@MYFLROOFINGCONTRATOR.COM
from the Owner listed above) State or County License CCC1 326546
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 lKPRMATIOR:
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.
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
F IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
QSTED N THE JO BEFORE THE FIRST INSPECTIO Y U INTEN T AIN FINANCING, CONSULT
WITH Y UR LENDER,6111 AN ATTORNEY BEFORE RECOR YOU NOTICE COM NCEMENT."
V/
Signa ure of n r ssee/ ntractor bs Agent for Owner Sig ure of ontractor/L cense Hold r
STAT OF FLORIDA STAT IOF FLORIDA
COUNTY OF 5�. �-J� �� COUN OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'V day of 5d 260 by this�j day of,tea V 20aa by
K-,,-4\-,_ RQ kT?--Ir\ 'L<a c s
Name of person m king statement. Name of person ma'king statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary ; (Signature of Notary ublic-State of Florida)
•'o<P"Y:Y,a•
DEANNA MARIE GIVENS a�• =-� Q
'? MY CO
Commission No�L1 ION#GG 022023 Commission Nu d� NAMFlRI7 );S
EXPIR S•December 16,2020 °';N ,• •;,4 1MISSION#GG 071023
'`•;� ;?.• Bonded Thru Notary Public Underwriters 3 c o EXPIRES
Decemberis.qn9n
Wod Thru Notary Public Ur derwate,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAO ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19