HomeMy WebLinkAbout409_SE_Tranquilla_Ave_County_Roof_Repair_PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/25/2020 Permit Number:
SA o 1LUK1FE—:1%
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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: Re -Roofing
PROPOSED IMPROVEMENT LOCATION:
Address: 409 SE Tranquilla Avenue
Property Tax ID #.. 3419-530-0070-000-4
Site Plan Name:
Project Name:
Lot No. 13
Block No. 33
DETAILED DESCRIPTION OF WORK: i
Remove torch down flat roof. Replace with two part peel and stick system. Re -nail roof to match new code.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank —Gas Piping — Shutters _ Windows/Doors _ Pond
— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 4000
Cost of Construction: $ 15,000
Generator V Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height: 10 ft.
OWNER/LESSEE:
CONTRACTOR:
Name Kirk Warren
Name:
Address:409 SE Tranquilla Avenue
Company:
City: Port St. Lucie State:
Zip Code: 34983 Fax:
Phone No. 561-251-8410
Address:
City: State:
Zip Code: Fax:
Phone No
E-Mail: wgreyblake@belisouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
If value of construction is 2500 or more, a RECORDED Notice oT Lommencemem: is requires.
If value of HAVC is $7,500 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
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK ana instanauurr an rr lulUdLEU.
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 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 }obsite before the first inspection. If you intend to obtain financing, consult
with le der or an attorney before commencing work
or recording our Notice of Commencement.
A-
Signa re of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
Swgfn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
f Physical Presence or Online Notarization
Physical Presence or Online Notarization
this,;'S day of > 2020 by
this day of 2020 by
t`,-K
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally known OR Produced Identification
Type of identification
Type of Identification
Produce c.� 5 ��
Produced
(Signature of Notar P. r; tate c6[I 40M+ E BROWN
(Signature of Notary Public- State of Florida }
Notary Public state of Florida
Y
Commission No. P: tommissipp� q 426388
~�' Comm, Elidr�ct 27, 2023
Commission No. (Seal)
BDnced through ha;ianal <etzry Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
�ev.5/6/20