HomeMy WebLinkAboutBarker Permit ApplicationAll APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT Re R••
Address: 6205 S Indian River Dr Ft Pierce, FI, 34982
Property Tax ID #: 3412-112-0001-000-5 Lot No.
Site Plan Name: i�14 Block No.
Project Name: t
Tear off and re roof w/new underlayment
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator i Roof Pitch
Total Sq. Ft of Construction: 3700
Cost of Construction: $ 21500.00
Name Mandalee Barker
Address:6205 S Indian River Dr
City: Ft Pierce
Zip Code: 34982
Phone No.954-657-1109
Fax:
Sq. Ft. of First Floor: 3700
Utilities: —Sewer —Septic
Name: Karibay Porras
Company: JT Roofing INC
Building Height:
State: 1F I I Address: 4360 SE Commerce Ave
E-Mail: mandaleesjewelry@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
City: Stuart
Zip Code: 34997 Fax:
Phone No 772-2664495
E-Mail info@jtroofinginc.com
State or County License CCC1332040
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.
State:FI
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
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, 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
WMI YOUR LENDER a AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Signature of Own seontractor as Agent for Owner
Signature of Contractor
►cense Holder
STATE OF FLORID f
STATE OF FLORI
COUNTY OF t�
COUNTY OF
The f r oing instrum t was acknowledag efore me
this ay of 2 j(` by
The f r ing instru ent
this day of
w s acknowled ed�efore me
�_, 20 by
v
(Pfs
Name of person maki g statement.
Name of person rhaking statement.
Pers ally Known OR Produced Identification
Personal) Known �
OR Produced Identification
Type f Identificatio \
Type of I entification
od Led ,
Produceb
Signature of N j
(S gnature of Nota
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ZAF FL
Commission No
Commission No.wee:620.
BUG
STATE OF FL
Elegy 91
both" w4ft"'A
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW.
REVIEW
REVIEW .
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Zj7/19