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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: — �' Permit Number: 0
RECFDED
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Building Permit Ap plicati�up
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Planning and Development Services St.Lucie Cgynty
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:rer00f
PROPOSED IMPROVEMENT LOCATION:
Address: 6224 Alexandria cir
Property Tax ID#: 3410-503-0180-000-8 Lot No.28
Site Plan Name: Block No. C
Project Name: j
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DETAILED DESCRIPTION OF WORK:
reroof shingle to shingles peel and stick underlayment
fl 10674-r15 5/12 pitch
tl 16048-r6 3000 SF
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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:
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OWNER/LESSEE: CONTRACTOR:
Name Bonnie Desmond Name:roland Wiley
Address:6224 Alexandria cir Company:shoreline roofing
City: ft pierce State:_ Address:1973 sw Glendale st
Zip Code: 34952 Fax: City: Port st lucie State:fi
Phone No. Zip Code: 34987 Fax:
E-Mail: Phone No772-260-9565
Fill in fee simple Title Holder on next page(if different E-Mail shorelineroofing@yahoo.com
from the owner listed above) State or County 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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SU,PPLEMENTAL.CONSTRUCTION LIEN LAW INF:ORIVIATION 5
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicabe
Name: Name:
Address: Address:
City: State: City: State: 1
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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
POST D O E JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
,WIfH LEADER OR AN ATTORNEY BEFORE RECO DING–WUJMOTICE OF COMM CEMENT."
Signature of Owner/Lessee/Contr ctor a Agent for Owner Signature of Contractor/License older
STATE OF FLORIDA,: STATE OF FLORIDA l
COUNTY OF �`� C,UC COUNTY OF 5T(A i c e ,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowli before me
this day of 202=. by this day of 19f; 2 by
Name of person making-statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identificat'
Produced ProducedE � o i
Z/ -) F—AZ
(Signature of Notary Public- ate of Florida} (Sign
,,%%P � ELLEN VAUGHN
' ELLEN VA' �py N
Commission r iPRYP�B i M��1 �prn State of Florida Notary Pu I}
�= Florida Public -• *= ommissio G 27007
`c Commission #GG 270079
o; ;�o P`o�° My Commission Expires
11.'rrrrni+ October 22, 202
REVIEWS _ VISOR PLA S VEGETATION SEATURTLE MANGROVE
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