HomeMy WebLinkAboutMedici Roof AppAll APPLICA E MFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Commercial Residential xxx
Phone: (772-) 462-1553 Fax: (772} 462-1578
PERMIT TYPE: Roofing
PROPOSED j it ROvEMENTLCAT{Ot 3:
,-
Address:
Property Tax ID #. j { ' C rl
Site Plan Name:
Project Name: re -roof
IETAILED DESCRIPTION OF WORK:
Additional work to be performed under this permit– check all that apply:
—Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing Sprinklers _ Generator
Total Sq. Ft of Constructions: _ Sq. Ft. of First Floor.
Cost of Construction: $ tj'�7 "`ilities: ,Sewer ,–,_Septic
Lot No.
Block No.
/01
�! £_
Windows/D ors
ftoof Pitch
Building Height:
NESS E;
CONTRACTOR,
Name li- ;_. I
Address: `� L�i�, �S `�� i`'` ...��� � �. �
City: Ft Pierce FL State:
ZipCode..�7�, Fax:
Phone No.
Name.• Richard Newland
Company: Richie the Roofer
Address:905 13th st sw
City: l/erpo Beach State:
Zip Code: 32962 Fax:
Phone No772-473-6197
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail dchieroofer@yahoo.com
State or County License 20506
If value of construction is 52500 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.
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.
itatrestrict or prohibit such
St. Lucie County makes no re ploftable�Home Owners Asgsopationi rulesabylaws or andpcovenants that mayd the subject structure
which is to con lict with any app
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may appy.
will, in all respects, perform the work
In consideration of the granting of this requested permit, I do hereby agree that I
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 PRU EDRTYNAT'INCOT CE OF COMM NCEMENT MUST BEE I RECORDED AND
YOUR PAYINC
TWICE FOR IMPROVEMENTS TO YOUR
POSTED ON THE JOB RSITE BEFORE THE FIRST INSPECTION. If YOU INTEND TO OBTAIN AN ATfO NEY BEFORE RECORDING YOUR NOTISkOF COMMENCEMENT." I1iC1NG, CONSULT
WITH YOUR LENRER •
STATE OF FLOR1
COUNTY OF I A A d
ng inst ent waUcknowled efore me
day of n 20 Y
person making statement.
personally Known DR Produced Identification
Type of Identification
Produced
signature of Contractor/License Holder
STATE OF FLORI
COUNTY OF s�
owledged before me
— 2a,Ltv
Name of person makirig statement.
Personally KnownOR Produced Identification
Type of Identification
Produced
N�ta blic State of Florid:
,cl, 9uP Sanderson
My Commission GG 211256
Expires 04125/2022