HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
f � x
s
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 452-1578 Commercial Residential x
PERMIT TYPE: Re -roof with peel and Stick and 5V metal
PROPOSED IMPROVEMENT LOCATION:
Address: 5611 Buchanan Dr Fort Pierce; FL 34982
Property Tax ID #: 3402-662-0216-004-8
Site Plan Name: Indian River Estates unit 1 Blk 6 Lots 24 & 25 (map 34111N)
Project Name: Matos Re -roof
DETAILED DESCRIPTION OF WORK:
Lot No. 24/25
Black No. 6
Tear off existing shingle roof system. Re -nail plywood with 8D ringshank nails. Install Reisto SA self -adhering modified
metal underlayment hack nailed to code with 718" plasti round top nails. Install 2x2 and W valley with 1-144" ringshank
nails. Install Metal Sales 5V 26ga. galvalume metal roof system with 1-112" woodzac screws.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical Gas Tank _ Gas Piping _ ShuttersWindows/Doors
Electric _ Plumbing_Sprinklers _Generator of 7 Pitch
Total Sq. Ft of Construction: 2071
Cost of Construction: $ 15,500.00
Sq. Ft. of First Floor: 2471
Utilities: —Sewer _Septic Building Height: 20'
OWNER/LESSEE:
CONTRACTOR:
NameQebra J Matos
Name:Cameron Cooper
Address:5511 Buchanan Dr
Company: Florida Coastal Roofing Solutions LLC
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772-342-1956
Address: 1559 SB S Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No772-621-6268
E -Mail: michaelmatos@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above]
E -Mail office@fcrslic.com
State or County License CCC 1331267
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,SOO or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 Nome 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 ,ISN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
of Owner/ LXsee]Contractor as Agent for Owner {I Sjgnature of tontract6r/License Holder
STATE OF FLORIDA STATE OF FLORIDA pp
COUNTY OF 5�� G1Cri5 I COUNTY OF 5�,
The forgoing instr ment was acknowledged before me The f Ding instrum t was acknowledged before me
this -!R-day of 202,0 by this day of 20-Z by
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ame of person making statement. Name of person making statement.
Personally Known OR Produced Identification _I/ Personally Known OR Produced Identification LI -11 -
Type of Identification Type of Identifati
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.771—urey Notary Publ - (Signatlire of Notary Public- State of Florida
Notary Putmic State of FWda pp Q ` Q
Commission No. WN
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w Expires 1211812623GG
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA�TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
DATE
COMPLETED