HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date:
11/22/2019 Permit Number: �• 06!
C
Building Permit Application's
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: Re -Roof
(PROPOSED IMPROVEMENT:LOCATION+'.
Al ifirP-,s. 2864 eagles nest way
Property Tax ID #: 3424-702-0146-000-1
Site Plan Name:
Project Name:
Lot No.26
Block No. 62
DETAILED, DESCRIPTION OF WORK:
(Reroof shingles to shingles Peel And Stick Underlayment
FI- Icross-ie'�
�&
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sa. Ft of Construction: 2300 Sa. Ft. of First Floor:
_ Windows./Doors
_ Roof 4 Pitch
I
Cost of Construction. fi 9375
Utilities: _ Sewer _ Septir Rii ii1ding Height:
OWNER/LESSEE: "'`
CONTRACTOR:
Name huguette curtis
Name:roland wiley
Address:2864 eagles nest way
Companv:shorelineroofing
City: Port st lucie State: _
Address:1973 sw Glendale st
Zip Code:, 34952 Fax:
City: Port st lucie State:fl
Phone No.
Zip Code: 34987 Fax:
E-Mail:
Phone N0772-260-9565
Fill in fee simple Title Holder on next page ( if different
E-Mail shorelineroofing@yahoo.com
from the Owner listed above)
State or County License CCC1331170
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is d7,500 .^.r —ore, a RECORDED Notice of Commencementis required.
SUPPLEMENTAL CONSTRUCTION-iLIEN 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
j POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WI YOUR LENDER O AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/ on actor as Agent for Owner
Signature of Contra ctor/Lic se o er
STATE OF FLORIDA `
STATE OF FLORID'
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instru nt was acknowledged before me
this day o 2QDZ by
this°ri day of 2C= by
L
Name 3f person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification ti
Type of Identification
Type of Identification
Produced
Produced
(Signature of N aG
ign tune of Notar„ Pu Ibc+� �'
P":o�*,--
*;m�:•
J
2760
M2LASHHNAINGRA•RFMING )022
FFLYION�Hcfi)d
eCorn�6AMMISSI�
EXPIRESDecember0,&2
Hc
i
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
nECEi V ED
DATE
COMPLETED
Rev. 1