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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,a-3` y� Permit Number:a d d�'0
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Building Permit Application JAN 3 Z020
Planning and Development Services
Building and Code Regulation Division '8T. Lucie County,PgrMjk!P9
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT TYPE:Residential Reroof Shingle to Metal
PROPOSED IMPROVEMENT LOCATION:
Address: 10851 S Ocean Drive, Unit 72
Property Tax ID#: 4511-81 - 000-2 Lot No.72
Site Plan Name: Block No.
Project Name: Freihofer Reroof
DETAILED DESCRIPTION OF WORK:
i ear off existing asphalt shingle down to sheath ing oar s, retal existing to meet code. nsta se
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adhered peel and seal direct to plywood. Install Aluminum 5V metal crimp fastened using stainless
steel 1 1/2 wood ZAC screws.
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 7�-Roofer Pitch
Total Sq. Ft of Construction: 000 Sq. Ft.of First Floor:
Cost of Construction:$ 9450.00 Utilities: —Sew er _Septic Building Height: IS
OWNER/LESSEE: CONTRACTOR:
Name_. rens +Xappkh /Qeh rerr ,0 Name: R1&hiWV R
Address: /68'.t�-1 S De-eam - D rl Glht- 7 a— Company: c��,t! ry 1�0 lrrl d osh�� �e
city: zl-eft sen 6 Ex-e-A- State:T L Address: #10 c�,!�' Se-01 e-
Zip Code: 3Llq 57 Fax: City:_ c�fu&r4— State: FL-
Phone No. '7?A --4176=205-6Zip Code: Y9 9� Fax:-77a o29'6 —8'318
E-Mail: Phone No 70+ -9 Flo' 91W1�
Fill in fee simple Title Holder on next page(if different E-Mail / 1 CKy x.4-0-rp ro roof-l!4,
from the Owner listed above) State or County License CCL 13 a 91-7 7
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: ANot 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 thepermit 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."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License;Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 51- wt. °e COUNTY OF Lr j
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged efore me
this day of �' 20�by this s,day of J 20�by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known�OR Produced Identification
Type of Identificatio Type of Identification
Produced Produced
...�
(Signature of Notary Publi a o obi a Si nature of Nota Publi - t I Public State oFlorida
o puB o Public State of Florida g /ry ] ^� 1 A Pusateri
Pamela A PusateriCommission No. / 6 c M $S�iln ssion GG 110676 mmI5510n No.G� ( o�'t My Commission
02G 110676
or N° Expires 06/01/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19