HomeMy WebLinkAboutpermit app for 5919 alexandria circleAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T0 BE ACCEPTED
Date: 05/20/2020
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 Number:
Building Permit Application
Commercial Residential x
PERMITTYPE:reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 5919 Alexandria Circle
Property Tax |D #: 3410-503-0186-000-9
Site Plan Name:
Project Name:
Lot No.17
Block No.
DETAILED DESCRIPTION OF WORK:
reroof shingle to shingles P/S underlayment 5/12 pitch
fl-18355 shingles and fll0648 p/s underlayment
CONSTRUCTION INFORMATION:
Additional work to be performed underthis permit -check all that apply:
Mechanical Gas Tank Gas piping Shutters Windows/Doors
Electric Plum bing _ Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction : S 10250.00
Sq. Ft. of First Floor:
5 pitch
Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:
I
CONTRACTOR:
NameKaren Costopoulus Name: roland wi|ey
Address: 5919 Alexandria circle Company:Shoreline roofing
city: ft pierce State:Address: 1973 Sw Glendale st
zip code: 34982 Fax:city: Port st lucie state:fl
Phone No. 202-255-1778 zip code: 34987 Fax:
E-Mail:Phone No 772-260-9565
Fill in fee simple Title Holder on next page ( if different E.Mai|Shorelineroofing@yahoo.com
State or County Licenseccc1331170from the Owner listed above)
lf 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 IN.`1 FOR"ATloN:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Name:
Add ress:Address:City: State: -city: State: -
Zip: Phone Zip, Phone:
FEE SIMPLETITLE HOLDER: _ Not Applicable B0NDING COMPANY - _Not Applicable
Name:Name:
Address:Address:
City:City:
Zip: Phone:Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application ls 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.
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ln consideration of the granting of this requested permit,I do hereby agree that I will, in all respects, perform the work
ln accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building perm(t 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
"yv^RNlue TO OwNER: youR FAILURE TO iHcORD A veTlcE OF COMMENCEMENT MAy REsuLT iN youR pAyiNG
TYYICE FOR IMPROYEMENTS T0 YOUR PcOPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORtRED AND
POSTEt) ON TllE JOB SITE BEFORE The FIRST INSPECTloN. IF YOU IRTENl) TO OBTAIN FIN^NCINC, CONSULT
NDER OR AN ATTORNEY BEFORE REcORDiNc tfoLiFnioT[cE OF cO MMENCEMENT."•-,/:fr lJr-
STgnatutEi;f owner/ ` factor as Agent for owner Signature of contractor/Lice der
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Name of person making stateme®PersonallyKnown\/ORproduced Identification Name of person making statementu
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Type of ldentlflc:atlc)n Type of ldentiflcation
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