HomeMy WebLinkAboutBuilding Permit Applicationr I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: D,—aQs>-20Z6 Permit Number:
611111111
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Building Permit Appli
cation
Planning and Development Services �
Building and Code Regulation Division QZ0 O�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resident0*001),
PERMIT TYPE:reroof,
.PROPOSED IMPROVEMENT LOCATION:
Address: 625 Pauroti In
Property Tax ID#: 3410-503-0356-000-2 Lot No.18
Site Plan Name: Block No. L
Project Name:
DETAILED DESCRIPTION OF WORK:
reroof shingle to shingles peel and stick underlayment
fl 10674-rl5 5/12 pitch
fl 16048-r6 1900 SF
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows Doors
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Electric _Plumbing _Sprinklers _Generator _Roof 5 Pitch
Total Sq. Ft of Construction:, 1900 Sq. Ft.of First Floor:
Cost of Construction:$ 8000 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NameTimothy McGuire Name:roland wiley
Address:625 Pauroti In Company:shoreline roofing
City: ft pierce 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 No772-260-9565
Fill in fee simple Title Holder on next page(if different E-Mail shorelineroofing@yahbo.com
from the owner listed above) State or County License CCC 1331170
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LIf 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 CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable!
Name: Name:
Address: Address:
City: ! State: City: State:
Zip: Phone I 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.
1 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 UR NOTICE OF COMMENCEMENT."
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Signature of Owner/Lesa ontractor as Agent for Owner Signature of Contractor/Li ens Holder
STATE OF FLORIDA STATE OF FLORIDA .7
COUNTY OF A COUNTY OF ul - Lu r�
The forgoing instriIment was acknowledged-before me The forgoing instrument was acknowledged-before me
thisof 20 )hy this may of
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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 Identification n
Produced f ��_ Produced
(Signature of Notary lic- tate of Florida) (Signature of Notary Public-State of Florida )
Commission No. ELCommiss' (Seal)
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COUNTER 20 k REVIEW EVILI,V�i@�jrs%a® REVIEW
DATE 006 01Y p
!, RECEIVED
DATE yes
COMPLETED
Kev. 2/7/19