HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: JUNE 12,2020 Permit Number:
0011 WT�:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: REROOF
PROPOSED IMPROVEMENT,LOCATION:
Address: 1905 WYOMING AVE
Property Tax ID#: 2421-602-0022-000-7 Lot No.3
Site Plan Name: ORANGE BLOSSOM ESTATES Block No. 2
Project Name: THOMAS KINDRED
DETAILED DESCRIPTION OF WORK:'
REROOF TEAR-OFF SHINGLES,AND INSTALL NEW SHINGLE
New Electrical Meter Second EIectrica['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: 3600 Sq. Ft. of First Floor:
Cost of Construction: $ 10000.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name THOMAS KINDRED Name.JOHN G.CANNON
Address:1905 WYOMING AVE Company:JOHN G.CANNON
City: FORT PIERCE FL State: 'Address:7901 CITRUS PARK BLVD
Zip Code:-34982 Fax: iCity: FORT PIERCE State: FL
Phone No. Zip Code: 34951 Fax: 7724680272
E-Mail: Phone No 7724680202.
Fill,in fee simple Title Holder on next page(if different E-Mail JGCANNONROOF@ ICLOUD.COM
from the Owner listed above)- State or County Licensee L i '3�b �
If 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.
SUPPL'ENIENTAL CONSTRUCTION LIEN LAW INFORIVIATIQN s;
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 indicated.
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 thepermit 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,1 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 or an attorney before commencing work or recording our Notice of Commencement.
Anare of Owner/Lessee/Contractor as Agent for Owner Sig ture of Contractor/L cen a Holder
STATE OF FLORIDA STATE OF FLORI A
COUNTY OF 5 — 406"e_ COUNTY OF XlZ,-,-e
Sworn to(or affirmed)and subscribed before me of Sw�to(or affirmed)and subscribed before me of
Physical Presence or inline Notarization Ph sical Presentee or Online Notarization
this day of M40� 2020 by this B day of 'D LJZ2,e_ 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification E/ Personally Known OR Produced Identification
Type of Identificatl'Qn, Type of Identific&tion
Produced Produced
(S gnature of Notary Public-S e of Florida ) Cr?m.aN (Signature of Notary Pu ic- a of Florida ) "cum
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Commission No. (Seal) °C Z _ Commission No. (Seal)
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DATE =" °
COMPLETED IT
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