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Ur-.r·ICE USE ONLY:
DATE FILED: S /ø/ /0'1
REVISION FEE: Sð '. rJ2.
PERMIT NUMBER: . . 050 q: '()...¡~3
RECEIPT NO.: -J3-jOr ~' .
3.
4..
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
BlnLDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
·462-15~3
PROJECT I~FOR'I_~TIO:.'4
~~~~~" .~;
APPLICATION FQR BUILDING PERLVlIT~l :
1.
LOCA TIO:"!SITE "'I
..\DDRESS: jO;).. 3 ~L\ S·-\- -fu~, ~ "(€"C'e FJ-,
3992À
2.
CO:\TR-\CTOR I~FO~I.-\JTIO:\.:
ST',OF FL REG.lCERT#. ~ ~
B l·S I~ESS ~.-\..'IE:
Qualifiers :\ame:
ADDRESS: ~j 0 ().. S .;.l q ~ '-\-
CrTY:!.:! ç-\:- _.{h'e-c~
PHO:'tE (DA YTI~IE): ( "1'1 Â) \4 ~l, - $2 '"is
.ARCHIT/El'GI~EER:
~A.."IE:
ADDRESS:
CITY:
PHO:'iE (D..~ YTI)IE):
ST. Ll-CIE COl·~T'· CERT.=
STATE: FL ZIP: c:3'lc1 :?;l
F A..X #
STATE:. ZIP:
F~X#
R sidential Roof Dr~- In Affidavit
St Lucie County, Public Works Department
Code Compliance Division
Building Permit # OJ 0 C; M WS 3-
Owner' s Name_~ ~b~r~ ~~( ")
Owner's Address 31 0 ~ :> d '-\ S~-('O (' .~
Contractor
.,."""
f\ -€<"' c~
FL.
~ 'i c/~ ).
Contractor's Address
I certify that: The required Lapping and Fasteners of the underlayment
(roof felt); hot mop, if required and flashing have been installed in
accordance with Chapter 15 of the Florida Building Code and Chapter 9
of the Florida Building Code, Residential with approved revisions and
meet the requirements of the product approval.
I understand that by executing this Affidavit I hereby relieve 8t Lucie
County of any liability with respect to the installation of these materials.
~~
OWNER/CONTRACTOR'S SIGNATURE
STATEOF~ID~'"
COUNTY 0 ·
- .
The foregoing instrument was acknowledged
jefore me this L day of . , 20([l: by
~¿ßfr;T ~1c?,'5 , w a is personally
kn9wn to me or who has pro uced
ç J~. ÐR· L fe./ as identification.
~ '. 7~:{: 7J-: d- [<1)
Commission No.
(Seal)
~ ~lt40-
HOMEOWNER'S SIGNATURE
STATEOFFLOR~ ~J
COUNTY OF ~ ·
The foregoing instrument was acknowledged
before me this -L day of ~, 20l:t by
/ZtJ(3.(jeí ~pr~, whfis personally
known to me or ho has produced
C/.JJ.~ ¿¡ c, as identification.
~ta ,0, 7Þs. 7.s-: dL/ po< Ò
Commission No.
(Seal)
Cm1 revised 1/17/2007
No Faxed Copies, Only Original Notarized Copy will be accepted.
"....."
~~~ AUDREYB.HUMPHREY
i*:ii:*i MY COMMISSION # DD 633047
,...... . ::1: EXPIRES: March 6, 2011
~P.r., . ..- ~ ThItJ Notary PUblic UndelWriters
5tF.h~z#- ~~~~~~
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772)
462-2522
Permit 1
--
PROPERTY INFORMATION Property ~'j1aìntenance »
Address ~~~_D24TH
~ORT PIERCE
Parcel # 12428-603-0020-00017
SID I Edgewood Acres
_~~ Owner(s) ILANDESTATES
- Unit #
IFL 34982 ~
Future Land us~
I Zoning I RS-4
Flood Elevation I
I St. Lucie County
Block 12
Jurisdiction
Lot # 12
I
Flood Zone
APPLICATION INFORMATION ¡~,cid i\ ~~evv Fern1!! >'>
I
I Confirmation # ~
I
I Date Applied I 09/14/2005
I Date Issued 111/23/2005
I Date Finaled
Expiration ~19/2007
Status Ilssued
~
Application Type laver the Counter Permit
Activity Type I
Other - Specify I
Permit Type I Roof
Location I Mainland 1
Manual Valuation 1$7,500.00
Job Address
Taken By Iserranob
Issued By I serranob
Finaled By r-=
CONTACT INFORMATION f\dd /\ppHcatlon Contact .."'J>
Category Type Contractor I I I Open Contractor .
Property Owner Registration Form
Contractor Name ROBERT BENDER
Property Owner Business I I Phone I ( ) - ext
I
I Faxl( )
I Name -
Address 13102 24TH STREET Mobile 1 ( ) -
I FORT PIERCE EJ34982 I pagerl( ) -
Email I I
SUB TRADE PERMITS i\ttach Sub Trade Pennit ;:»
Date Applied 1
Issued I
Sub Trade Status I
I Taken By I
I Issued By I
I Finaled By I
I Finaled I
I Expiration I
Sub-Trade Permit
Permit Type I
Contractor I
Company I
Owner I Buildier
Sub-Trade Job Description
CONSTRUCTION INFORMATION
Units _
I
Total Sq. Ft. ~.OO
Floors _ BuildingS_
I Min Flood Elevation
-.J
FCC I Residential Roof Repair
Nae Required ~ Nae Received
Setbacks (Feet) Front
# Bedrooms c=J
Flood Map
# Bathrooms c=J
Flood Zone I
Nae Expiration
Left Side I
Right Side I
Job Description 'SHINGLE OVER SHINGLE - 2100SF - 4/12P
5tF";~ ~~~~
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772)
462-2522
Perm it 1
--
PROPERTY INFORMATION p¡ Of1crty fv!;) ¡ì ¡h::n;) nc,: > >
Address 13102 CI24TH
I FORT PIERCE
Parcel # 12428-603-0020-000/7
SID Edgewood Acres
Additional Info
I~I J Owner(s) lLANO ESTATES
I. Unit #
. Jurisdiction I S1. Lucie County
1 Zoning I RS-4 Block 12 ILot # 12
1~134982
Future Land US~ RU
Flood Elevation
Flood Zone
C"'.;.- ../ ,/'? ~
~... J.~"''''<?·~Þ t/of1-tt~~J,~~_~,
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772)
462-1148
h tto ://stl u c ieco. a ov / ce
Inspector Comments
null
Resulted: Tue Mar 20 13:11 :08 EDT 2007
Inspections
.
.~
5Çh~~~~
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
http://stl ucieco.gov/ce
PERMIT EXPIRATION NOTICE
04/17/2007
ROBERT BENDER
3102 24TH STREET
FORT PIERCE, FL 34982
RE: BUILDING PERMIT NUMBER: 0509-0453
JOB LOCATION: 3102 24TH ST
DATE ISSUED: 11/23/2005
DEAR HOMEOWNER,
WHILE COMPLETING OUTSTANDING PERMITS, IT HAS COME TO OUR ATTENTION THAT
THE CONTRACTOR WHO APPLIED FOR YOUR PERMIT IS NO LONGER ABLE TO
COMPLETE YOUR PERMIT. WE UNDERSTAND COMPLETELY THAT HIS CIRCUMSTANCES
ARE BEYOND YOUR CONTROL. HOWEVER, WE WOULD LIKE TO WORK WITH YOU TO
COMPLETE YOUR PERMIT. THERE ARE SEVERAL OPTIONS AVAILABLE TO YOU. WE
WOULD LIKE YOU TO CALL OR CONTACT US SO THAT TOGETHER WE CAN DETERMINE
THE BEST WAY TO ACCOMPLISH THIS TASK ·
PLEASE DON'T PUT OFF THIS ISSUE. WE ARE SINCERE IN OUR OFFER TO HELP YOU
AVOID CODE ENFORCEMENT ACTION. YOU CAN REACH US AT 772-462-5261 FROM 8
AM TO 5 PM, MONDAY - FRIDAY.
SINCEREL Y,
CODE COMPLIANCE DIVISION