HomeMy WebLinkAbout5702 Shannon Dr Re-roof ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
VIN
r P., 7�
COUNTY
F
L
O R
I D A -
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Roof
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 5702 Shannon Dr Fort Pierce, FL 34951
Property Tax I D #: 1301-613-0386-000-8
Site Plan Name:
Project Name: Price
Lot No. 20
Block No. 153
DETAILED DESCRIPTION OF WORK:
Re-rooflTear Off/SFR/25 Sq/2:12 Pitch (Asphalt Shingle) and 1:12 Pitch (Modified Bitumen)
CONSTRUCTION INFORMATION: 71
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 2500
Cost of Construction: $ 18290
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof 1 and 2 Pitch
Utilities: _ Sewer _ Septic Building Height: 15 ft
OWNER/LESSEE:
CONTRACTOR:
Name James A Price
Name: Benjamin Brown
Address: 5702 Shannon Dr
company: Aspen Roofing Inc
City: Fort Pierce State: `L
Zip Code: 34951 Fax:
Phone No. (772) 467-1592
Address: 1642 W Airport Blvd
City: Sanford State: FL
Zip Code: 32773 Fax:
Phone No 717-569-3700
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ben @aspenwindows.com
State or County License CCC1331457
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:
DESIGNER/ENGINEER:
Name:
Address:
_ Not Applicable
A
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Pho e
City: State:
Zip: Pho . e:
FEE SIMPLE TITLE HOLDE : _ Not Applicable
Name: I iA
Address: J1 r
City: v I
Zip: Pi ne:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Pho e:
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
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."
t natu of Owner/ ,see/Contractor as Agent for Owner
Signature of Contractor/License Holder
TATE OF FLOR ��44A
STATE OF FLORID
COUNTY OF S� CuLre
COUNTY OF JT)°
The forgoing instrum nt jnras acknowledged before me
The forgoing instrum t wls acknowledged before me
this ("7 day of U(h 20 A) by
this _D day of 20dP by
f} f�( G2
Qn
Name of person making statement.
Name of person making statement.
/
Personally Known OR Produced Identification I/
Personally Known j/1" OR Produced Identification
Type of Identific ti° /_
Produced �-�(� �19�u��� ����ID
Type of Identification
Produced
(Signature of Notary Public- Stat
ture of Notary Public
/ , Notary Public State of Flo
Commission No. ✓" i �/v r feas ran Alan Marlin
(o
ida c. t ",� 1 b Notary Public State of Florida
�Om ISSIOn NO. (J (r!" / ; aril Martin
+, My Commission GG 309
'?off M1o� Expires 03i0T2023
lion GG 309328
��F�g11 kpiFits 03 07 2023
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Rev. 2/7/19
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