HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/05/202o Permit Number:
Building Permit Application
Planning and Development Services
Building and code Regulation Division C0mmerc.lal
2300 Virgin.Ia Avenue, Fc]rf Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Resid ntial yes
pERMiTAppLlcATloN FOR: Re-Roof
Address: 3126 Old Edwards Rd
Property Tax lD #:
Site Plan Name:
Project Name:
2429-123-0001 -300-1 Lot No.
Block No.
shingles to 5V metal fl 17022.1
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit -check all that apply:
Mechanical Gas Tank Gas piping
Electric Plumbing _ Sprinklers
Total Sq'Ft of Construction: 4500
Cost of Construction: S 18500
Shutters Wind
Generator R
Sq. Ft. of First Floor:
ws/Doors Pond
of 4/12 pitch
Utilities: _Sewer _Septic uilding Height:
NameLance Mills
Address: 3126 0lcI Edwards Rd
Fort Pierce
Zip Code:
Phone No.
E-Mail:
34981
State:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Roland Wiiey
Company:Shoreline Roofin
Address: 1973 SW Glenda|e
Port St Lucje
34987
Phone No772-260-9565
state: FL
E-Majishorelineroofing@ya 00.Com
State or County Licensecc 1331170
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER
Name:
ENGINEER:Not Applicable
State:
Phone
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
State:
FEE SIMPLETITLE HOLDER: _ Not Applicable
Name:
Phone:
B0NDING COMPANY:
Name:
_Not Applicable
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the
I certify that no work or installatlon 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 respe
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendme
The follow]ng build]ng permit applications are exempt from undergoing a full concurreney review:
accessory structures, swimming pools, fences, walls, slgns, screen rooms and accessory uses to an
"^RNiue To OWNER: VouR FAILURE To REcoRD A roTlcE oF coMMEueEMERT
TYYICE FOR IMPROVEMENTS TO YOUR PROPEfITY. A NOTICE OF COMMENCEM
FrosTEt) ON "E joB slTE BEFORE THE FiRST [NspECTION. IF you INTEND TO
UR LENDER OR AN ATTOFINEY BEFORE REcOFtDING NOTICE OF C
work and installation as indicated.
to build the .subject structure
prphiblt such
:ions VI}hich may apply.
s, perform the work
ts.
:ijnTawyhri:itr+:v6:
roorT` additions,
ther non-residential use
AY RESulT .N YOUR PAYING
NT MUST BE RECORDED AND
BTAIN FiN^Nclfve, -cONsuLT
MENCEMEiur."
Signature of Owner/
STATE 0F FLORl
COUNTY OF
ractor as Agent for Owner Slgnature of
STATE OF FL
COUNTY 0F
instrument was cknowledged before me20ioby
Name of person making state
commission No.ee\02Pj3q (seal)
nally Known
f Identification BBANDY MOOD
Notary Public-State of Fl
Commission # GG 102
My Conrimission Expir
May 09, 2021
(Signature of
Commission No
tary Public-S ate of Florida )
a (seal)
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TU RTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED