HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater ��" Permit Number: 120001- 0-24 p te-
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__ Building Permit Applic ion FEB 10 2020
Planning and Development Services Permitting
Building and Code Regulation Division Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. LU Cie CQ u n tY FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Resl e
PERMIT TYPE:reroof
PROPOSED IMPROVEMENT LOCATION':
Address: 5759 travelers way
Property Tax ID#: 3410-503-0096-000-1 Lot No.28
Site Plan Name: Block No. C
Project Name:
i
DETAILED DESCRIPTION OF'—WORK::','
reroof shingle to shingles peel and stick underlayment
fl 5112 pitch /0(C,-7q •- e115
fl 16048-r6 3000 SF
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 —Roof 5 Pitch
Total Sq. Ft of Construction: 3000 Sq. Ft. of First Floor:
Cost of Construction:$ 10500 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: p CONTRACTOR;
Name Nora Roschi Name:roland wiley
Address:5759 travelers way Company:shoreline roofing
City: ft pierce State:_ Address:1973 sw Glendale st
Zip Code: 34.952 Fax: City: port st lucie State:fl
Phone No. Zip Code: 34987 Fax:
E-Mail: Phone No7724260-9565
Fill in fee simple Title Holder on next page(if different E-Mail shorelineroofing@yahoo.com
from the Owner listed above) State or County LicenseCCC1331170
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.
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SUPPLEMENTAL.0 NISTRUICTION 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 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 FOW 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
WI OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contrac o -Agent for Owner Signature of Contra cto r/Lice ns r`
STATE OF FLORIDA ) STATE OF FLORIDA
COUNTY OF J>F• C� e COUNTY OF
The-forgoing instr e t was acknowledged before me The for oing instru nt as acknowledged before me
this day of 26A by this day of 20�My
Name of person ma ing statement. Name of person making statement.
Personally Known .00, OR Produced Identification Personally Known.,—'
nown/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Not REY .H HREY (Signature of N Public-State of Florida )
Commission No. �'=
MY Q{K#GG 300817 Commission No + '= AUO�B.H
EXPIRE. 6,2023 :.; .*i MISSIONTM17
:?.ai:�:•' gondad itxu NatauY PWbrw U EXPIRES:March 6,2023
REVIEWS TRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE OVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19