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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dater a„1 as Permit Number: aa0'� 03 RECEIVE© - -- - Building Permit Applic tiotVAR 12 '020 ff Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553. Fax: (772)462-1578 Commercial Residential X PERMITTYPE: RESIDENTIAL REROOF REROOF TILE TO TILE PROPOSED IMPROVEMENT LOCATION:'.".',1 Address: 2005 NW LAUREL OAK LANE PALM CITY FL Property Tax ID#: 4425-605-0057-000-8 Lot No. Site Plan Name: HOLMES REROOF Block No. Project Name: HOLMES REROOF DETAILED DESCRIPTION OF WORK: RESIDENTIAL REROOF TILE TO TILE ` n 0)C' \) CONSTRUCTION INFORMATION: Additional work o n k t be performed under thisermi –check eck all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof 6:12 Pitch Total Sq. Ft of Construction: 39 SQUARES Sq. Ft. of First Floor: Cost of Construction:$ 35,929.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name BETH &WILLIAM HOLMES Name:ARTHUR FRANK Address.2005 NW LAUREL OAK LANE Company:ROOFING SYSTEMS OF FLORIDA, INC.. City: PALM CITY State:_ Address:583 105TH AVE N SUITE 9 Zip Code: 34990 Fax: City: ROYAL PALM BEACH State:FL Phone No. Zip Code: 33411 Fax: E-Mail: Phone N0561-795-5566 Fill in fee simple Title Holder on next page(if different E-MailADMIN@MYROOFSYSTEM.COM from the Owner listed above) State or County LicenseCCCO29554 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 LAIN INFORMATION � _ 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. 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, 1 do hereby agree that 1 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 YO NTEND TO O TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOtICE OF MENCEMENT." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORI STATE OF FLORIDi�e ;4 1 �- COUNTY OF t�1 _ C COUNTY OF –al M &nom The for sing instr ment was acknowledged before me The for oing instrument was acknowledged before me this a ay of _,207-bby this LT day of� 20 by t Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known D(, OR Produced Identification Type of Identification Type of Idetification Pro duc Produce A _ I nature of Notary P blic- tate of Florida ) ure of Notary Pu c-S to of Florida) Felicia Latchaw ti, Ay�, Feli la Latchaw mmission No. alA'.. '��' CommisJ )GG185434 7mmssian No. y = Col n#GG18S434 " Expiras:Fettuary 13.2022 Wires:Feiwary 13,2022 Kinfamr REVIEWS FRON`CZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ke—v. 2/7/19