HomeMy WebLinkAboutBuilding Permit Application All APPLICAB E INF MUST BE COMPLETE I ICATIC1N TCLBE A CEPTED
Date: 3 a D RECEIVED Permit Number:-a
FEB U 3 2020 RECEIVED
ST. Lucie County, Permitting JAN 3 �02Q
Building Permit Applic `s�i"LVcie 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 xxx
PERMITTYPE: Roofing - ���
PR'pPOSED IMPROVEMENT LOCATION: '
Address: 103 SE Bonita Ct -
Property Tax ID#: 3419-540-0291-000-0 Lot No.
Site Plan Name: Block No.
Project Name: re-roof
DETAILED DESCRIPTION OFttWORK ,
Tear off existing shingles and replace with nd peel and stick underlayment and flat roof
peel and stick FL 14317-R10 Boral Flat Roof Polyglass SAP cap&SAV base FL1654 422-
Extreme
22-
Extreme 5 V F117022.1 R3 �g( � J
tOSTRUCT'IQN,INFORMATION: a
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 2.1/2/12 Pitch
Total Sq. Ft of Construction:,02000 Sq. Ft.of First Floor: e7L-
Cost of Construction:$ 8040.00 Utilities: —Sewer _Septic Building Height: 16
OWNER/LESSEE CONTRACTOR
Name Eric&Christy Smith Name: Richard Newland
Address:103 SE BONITA CT Company:Richie the Roofer
City: Ft Pierce FL State:_ Address:905 13th st sw
1 Vero Beach FI
Zip Code: Fa City: p State:
Phone No.?ILI,1 l - ?iQ Zip Code: 32962 Fax:
E-Mail: Phone No 772-473-6197
Fill in fee simple Title Holder on next page(if different E-Mail richieroofer@yahoo.com
from the Owner listed above) State or County License 20506
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
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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."
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nature of Owner/Lessee/Contractor as Agent for Owne Signature of Contractor/License Holder
STATE OF FL 11D STATE OF FLWQA
COUNTY OF • "OA COUNTY OF • ku Ca e
The , rg5ugwin� ent was acknowledg, before me The fo gitag Inst n ent was acknowledged before me
this day of {,i'�.�lar 20�by this, day of i/Ll.fG 20 Eby
&_nC'Acv C� r,1. A
Name of person making sta nt. Name of person making statement.
Personally Known OR Produced Identification Personally Known�OR Produced Identification
Type of Identification Type of Identification
P .duced Produced
1
(Signature of Notary Public-St ture of Notary Public-S
Y Nq�ary-Public State of Flori k7� Notary Public State of Florida
Commission No �S(QandaP Sanderson t1a issio'r)No� dpi a'P Sanderson
• My Commission GG 2112 My Commission GG 211256
Of poi Expires 04/2812022 j�R Expires 04125/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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