HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/16/2020
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: ROOFING
PROPOSED IMPROVEMENT LOCATION:
Address: 6502 Flora Way Fort Pierce, FL 34951
Property Tax ID #: 1301-607-0212-000-9
Site Plan Name: LAKEWOOD PARK -UNIT 7
Project Name: BRAMBLE RE -ROOF
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Commercial Residential X
Lot No. 9
Block No. 78
1. Install (1) ply of self -adhering membrane directly to plywood deck.
2. Fabricate and install 24ga Galvalume (Mill Finish) drip edge and valley metal.
3. Install 1" Standing Seam 24ga Galvalume (Mill Finish) panels in accordance with the Florida Product Approval.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 3268
Cost of Construction: $ 16,728.00
Gas Piping
Sprinklers
_ Shutters
Generator
Sq. Ft. o` ` irst Floor: NA
Windows/Doors
Roof Pitch
Utilities: __sewer _ Septic Building Height:12'
OWNER/LESSEE:
CONTRACTOR:
Name Bruce D Bramble
Name: STEPHEN DALE BISCHOFF
Address: 6502 Flora Way
Company: VERO BEACH ROOFING.COM
City: FORT PIERCE State: _FL_
Zip Code: 34951 Fax:
Phone No. 772-473-2152
Address: 835 10TH AVE SW
City: VERO BEACH State: FL
Zip Code: 32962 Fax:
Phone No 772-770-3782
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail VEROBEACHROOFING@HOTMAIL.COM
State or County License CCC1330283
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 LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
_X_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_X_ Not Applicable
BONDING COMPANY:
Name:
_X_Not Applicable
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, 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO� STATE OF FLORIDA
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day of ..=
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Type of Identification
Produced
The forgoing instrument was acknowledged before me
this9;) day of 20obby
Name of person making statement.
OR Produced Identification Personally Known V OR Produced Identification
Type of Identification
Produced K\(\b'Z0
MY COMMISSION # Ora(&12110
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