HomeMy WebLinkAboutAnderson Dr 3101, Permit App..pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Reroof
PROPOSED IMPROI/EM.ENT t aCgTlON:
Address: 3101 Anderson Dr, Fort Pierce, FL 34946
Property Tax ID #: 1432-807-0059-000-5
Site Plan Name:
Project Name:
Lot No. 301
Block No.
DETAILED DESCRIPTION OF WORK:
Reroof Remove existing roof covering, dry in with self -adhering underlayment and install new asphalt shingles.
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION.-
Additional
NFORMATION:
Additional work to be performed under this permit–check all that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
Electric , Plumbing — Sprinklers Generator Roof 4112
Total Sq. Ft of Construction: 1450 Sq. Ft. of First Floor: _
Cost of Construction: $ 7,870 Utilities: _ Sewer _ Septic
OWNERAESSEE:
NameGleophus Jackson
Address:405 Cecello Way
City: Tracy State: 01'
Zip Code: 95376 Fax:
Phone No. 813-217.3459
E -Mail:
Fill in fee simple Title Halder on next page (if different
from the Owner listed above)
Name: Michael Miller
Building Height:
Pond
Pitch
Company:Trade Winds Roofing, Inc
Address: P.O. Box 13208
City: Fort Pierce State: FL
Zip Code: 34979 Fax:
Phone No 772-466-9420
E -Mail Mike@tradewindsroofing.com ulfl�CrV
State or County License CC 0057399
11 Value ur cunscrucaon is t]uu or more, a RtLUKutu Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
it'd
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: i Not Applicable
! MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City= State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
r%%AllUCD/f Ak1'rnA1- r%n Ar--
.._. =l ti -F, 1 FAAL i UK Arrluvl 1 : Hppilcation is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender ran attorney before commencing work or recording our Notice of Commencement.
Si nature of wner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S COUNTY OF_
Sr o (or affirmed) and subscribed before me of Swor o (or affirmed) and subscribed before me of
o
cPhysical Presence or Online Notarization Physical Presence or Online Notarization
this ifay of 2020 by this:2,2h9ay of Al 2020 by
Name of person making statement. Name of person maki7statment.
Personally Known `� OR Produced Identification Personally Known R Produced Identification
Type of Identification Type of Identification
Prod ed Pro uced 1
(Signature of Notary Public- S� t of FlFelft)Lyne Wilkin (Signature of Notary Public- Statd °
NOTARY PUBLIC I TARY PUBLIC
Commission No. " _STWmIOF FLORIDA Commission No. ��AJE OF FLORIDA
W' z_ Comm# GG1038fifl w" Comm# GG1038S0
's $ �ryct t +� Ex ices 914/2021,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.