HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED A� �jN
Date: Permit Number: y5 d3
RECEIVED
MAR 2 4 2020
• ° Permitting Department
Building Permit Application St.Lucie County
Planning and Development Services
Building and Code Reguldhan Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMITTYPE:Roof replacement
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Address: 7504 Deer Park Street Fort Piens FL 34951
Property Tax ID M. 1301-605-0017-000-6 Lot No.17
Site Plan Name: Block No. 40
Project Name: 3
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Remove existing roof system down to plywood,re-nail to code.Install Resisto Peel and Stick underfayment and install
26GA 5V Crimp metal roof system. Flat roof to be peel and stick base sheet w/modified bitumen rubber roof system
to code
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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 C
Pitch
Total Sq.Ft of Construction: S Sq.Ft.of First Floor.
Cost of Construction:$ 15,995.00 Utilities: —Sewer _Septic Building Height: 1
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Name Darryl Engman Name:Jeffrey Hampson
Address:7405 Deer Park Street Company-St Lucie Roofing
City: Fort Pierce State:_ Address:1919 SW South Macedo Blvd
Zip Code: 349151 Fax: City: Port St Lucie State:FL
Phone No.262 707-8485 Zip Code:34984 Fax:
E-Mail: Phone No772-3447193
Fill in fee simple Title Holder on next page(if different E-Mail Jeffh.SLR@GMail.com
from the Owner listed above) State or County LicenseCCC1330816
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.
DES�GiVi /EMSM Not Applicable MORTGAGEE COMPANY: Not Applicable
Name: blame:
Address: Address:
City. State: City: State:
Zip: Phone Zip: ' Phone:
FEE SIMPLE TITLE HOLDER.- _Not Applicable' BONDING COMPAttff: NotApplicable
Name: blame:
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 cerl`ify 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,l 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 bu ilding permit applications are exempt from undergoing a full concurrency review:room additions,
accessory stru ores,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
To owmm irem mwmE m RwaaD& movom ef comEwAmmN N&V nEsmir m youR pay=
TMClE FOR IMPROVMEMS TO YOUR EIaROIPERIrT. A NOTEa OF COmmeu(CE mEi f music BE EiBI£COEwEED mD
PBSTM 011M THE JW 513111£ e&FME ME MWS EF TOU IMIMM VG OWAM MMaNG, ECONSU LY
y'6F1M TOM LENCER OR AN ALYFOMMY BEFORE IWEG33=TOM WGnM OF�O m
Signature of Owner/ ee/ ntractor as Agent#or Owner . Signature of Contractor 'cen Holder
STATEOUK OF FLORIDA j` L-i STATE OF COU OF ORI®A CJ
C®�RT11f®F -C c��
The forgoing instrument was acknowledged before me The forgoing instniment was acknowledged before me
this day of rel,*(� 20,��by this J�'f day of 20 9�Dby
Jefrey."amp-_ Jeffiey Hampson
Name of person ma'king�statement. Name of person making statement.
Personally Known _ OR Produced identification Personally Known OR T'FOdtdCE'd i{lerttifiCatlOn
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida} (Signature of Notary Public-Sthe of Florida}
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED 711
DATE =r° :Stats o Fiortda-Na®rOp X.
COMPLETED -4 Com . Y U licip
Rev.4111 JLZ1 Y Commission Expires
CONSTANCE PROULX SQAtombor i6, 2A2a
,State of Florida Notary Public
L =* *: Commis®Eon ( C$ 58328 -
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�5'` M Comn,issEan Ex iron