HomeMy WebLinkAboutBuilding Permit Application All APPLICAB E INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1
Date: p�-� I a� Permit Number: r O�
RECEIVE
Building Permit Application FE9 0 3 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential xxx
PERMIT TYPE: Roofing
,PROPOSED IMPROVEMENT LOCATION
Address: 7404 Winter Garden Parkway
Property Tax ID#: 1301-605-0080-000-8 Lot No.
Site Plan Name: Block No.
Project Name: re-roof
DETAILED DESCRIPTION OF-WORK: .
Tear off existing shingles and replace with newshinglesand peelandstick uunnderlayment
peel and stick FL 4k; �l - Cy in �. l 0�� O �l ca
shingles owens coming FL10674-R13
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _W' Bows/Doors
Electric Plumbing _Sprinklers Generator R✓ oof 5/12 Pitch
Total Sq. Ft of Construction: 2,400 Sq. Ft.of First Floor:
Cost of Construction:$ 9,840.00 Utilities: —Sewer _Septic Building Height: 16
OWNER/LESSEE': "CONTRACTOR:
Name Paulette Gallo Name: Richard Newland
Address:5848 Sunberry CIR Company:Richie the Roofer
City: Ft Pierce State:_ Address:905 13th st sw
Zip Code: 34951 Fax: City: Verpo Beach State:FI
Phone No. Zip Code: 32962 Fax:
E-Mail: Phone N0772-473-6197
Fill in fee simple Title Holder on next page(if different E-Mail dchieroofer@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.
1SUPPLEME L 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: _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 orinstallation has commenced.prior to the issuance of a permit.
St.Lucie County makes no representation that is granting apermit,will authorize the permit holder to'build the subject structure
which is in conflict with any applicable flome 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 l 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 Ow er_ ature of Contractor/License Holder_---
STATE OF FLORIPAJSTATE OF FLO
COUNTY OF '1 - C{_� COUNTY OFA ,�l
The r �ng instr nt was acknowledged efore me The forgoippg--tn merit was acknowledged before me
this day of C1il.✓ U 20 by this -'1day f 1,10.E 20 ',by
J
Tarille of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known 0 Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sigrigi,ture of Notary
PPub (Sig ature of Not Public- a e o F o i a
Notary Public State of Florida �a 11 S�
a / t4 Vsr NO phc State of Florida
Commission N Aft1 9ftl?5antlerson Commission No. �'
My. ommission G.G 21.1256 Arip Sanderson
qo� ,Expires 04/2512022 My Commission GG 211256
N Expires 04/2512022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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