HomeMy WebLinkAbout3112 Ave S PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JUNE 10, 2020 Permit Number:
��1: LL I C LL
Building Permit Application
Planning and Development Services XXXXX
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 IMPROVEMENT LOCATION: 3112 AVE S
Address: 3112 AVE S, FT,. PIERCE, FL
Property Tax ID #: 2405 501 0041 000 6 --- SUNRISE PARK NO.1,BLK2,LOT16 Lot No.16
Site Plan Name: 3112 REROOF Block No. 2
Project Name: 3112 REROOF
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF COVERING., REPAIR DAMAGED DECKING. REROOF WITH 30 YEAR DIMENSIONAL SHINGLES.
TAMKO 30 YR AR FL 18355 R4
uNDERLAYMENT 30 LB. FELT. DOUBLE LAPPED
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 _Generator Roof 3/12 Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJOSEPH DIEUSENER
Name: RAY VILLANOVA
Company:VILLANOVA CONSTRUCTION INC.
Address:902 BRADLEY ST.
Address:2908 OLEANDER BLVD
City: FT. PIERCE State: _
Zip Code: 34982 Fax:
Phone No.
City: FT. PIERCE State:_
Zip Code: 34982 Fax:
Phone N0772 940 6654
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail rayvillan@aol.com
State or County License CCC 1327518
If value of construction is 25uu or more, a RECi3RDcu .— c ........
•-••--•••- - - ---•-- 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
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:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indI
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes makes no representation that is granting a permit will authorize the permit holder to build the suor bject structu
prohibit
Associationners at which
re
structure. Please consult w thpyourHome Owners Association ndrreviewyyour deed or any rests trictions may apl.
In of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
consideration
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 uses to another non-residential use
accessory structures, swimming pools, fences, walls, signs, screen rooms and
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
be recorded in the public records of St.
improvements to your property: A Notice of Commencement must
Countyandre the Ioyou obtain consult
posted
worfirst
with lender rneo btfore commensite � n k or recording N tice of Comencement.
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Signatur of Owner/ Lessee] ontractor as Agent for Owner Signal a of Contractor' se Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF " '� /O r�' � � COUNTY OF r3L
yca
Sworn�o (or affir d) and subscribed before me of Sworr" (or affirmed) and subscribed before me of
✓Physical Pr ce or Online Notarization
✓Ph sical Pr s nce or —Online Notarization
% 20 by this day o 2020 by
this / day of
i r
Name of perk making statement. me of p son making statement.
ZOR Produced Identification Personally Known ✓_OR Produced Identification
Personally Known
TypType of Identification
of Identification
Proe \\\�vis/i,,1�/Produced
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