HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11
Date:
03/10/2020 Permit Number:��'
Building Permit Application
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 X
PERMIT TYPE: reroof
PROPOSED IMPROVEMENT LOCATION':'
Address: 7903 Hibiscus Rd.
Property Tax ID #: 1301-605-0194-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
reroof shingle to shingles 30# underlayment.
FI-18355 5/12 pitch
2000 SF
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 7500
Lot No. Unit 5
Block No. 47
_ Windows/Doors
_ Sprinklers _ Generator _ Roof 5 Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Pierre Sache
Name: roland wiley
Address:7903 Hibiscus Rd.
Company: shoreline roofing
City: ft pierce State: _
Address:1973 sw Glendale st
City: Port st lucie State:fl
Zip Code: 34950 Fax:
Phone No.
Zip Code: 34987 Fax:
Phone No772-260-9565
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail shorelineroofing@yahoo.com
from the Owner listed above)
State or County License CCC1331170
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
d:
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.
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 YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Le ee ontractor as Agent for Owner
Signature of C c o der
STATE OF FLORIDA II LtJ C
COUNTY�.
STATE OF FLORIDA5J_ C 1
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OF t
COUNTY OF
The f r Sing instrut^was �acknowled before me
thisaay of--1= 20 by ,
The oing instru as c nowledg before me
this day of 20by
a�t�
�G� 1' 1�
Name of person making statement.
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Name of person making statement.
Personally Known OR, Produced Identification
Personally Known OR Produced Identification
Type -of Identification jj
Produced L�
Type of Identifirntio�j
Produced L
IMA T
(Signature off Notary Public- State of Florida)
(Signature of N t � P 11 - M &WA%ii�c�HALE
' ^`PaY P�e`c MICHAEL MP ALr
Commission'No. al)
pr,
MY COMMISSION # GG 168796
Commission No. `z5� o T:VP1 S: Dece4Sea)p021
u� � i � i � #GG1687 6-�aa`----
.-oF�o EXPIRES: December 17, 2021
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ZONING
SUPERVISOR
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COUNTER
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DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19