HomeMy WebLinkAboutFrye Building Permit ApplicationAll APPLI AB IN b MLIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
no
Building 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
DennisPERMIT APPLICATION FOR:
Address: 2545 W Seminole Rd Fort Pierce
Property Tax ID #: 1335-241-003-000-4
Site Plan Name:
Project Name: Frye Re -roof
New Electrical Meter Second Electrical Meter
Name Dennis Frye and Patty Binkley-Frye
Address: 2545 W Seminole Rd
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-332-1677
E-Mail: treebean@bellsouth.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Lot No.
Block No.
Name: Karibay Porras
Company: JT Roofing Inc
Address: 4360 SE Commerce Ave
City: Stuart State: FI
Zip Code: 34997 Fax:
Phone No 772-266-4495
E-Mail info@jtroofinginc.com
State or County License CCC1332040
If values of cnnstnirtinn is 7Snn nr mnrp_ a RFMRDFD Notice of Commencement is required.
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 indicated.
1 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wITH YOUR LENDER a AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Own&J seEjContractor as Agent for Owner Signature of Contfactor icense Holder
STATE OF FLORID STATE OF FLORI
COUNTY OF r � COUNTY OF---�`—
The f oing instryment was acknowledg d, efore me
this l day of v 2rby
The fo ing instr t was acknowledged before me
this of t C-by
PIZ-
f
Name of perso make g statement.
-Name of person'making statement.
Personally; nown OR Produced Identification
Personally nown OR Produced Identification
Ty p of I ntificatio
Type of Id ntificatio
Pr
Pr
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/
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{Signature of No a Public-
lord}
(Signature of of ry Public- tate of Florida)
NOTARY PUBLIC
mpbell
Commission No.
OF FLORIDA
Commission No. PUBLIC
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doll
FLORIDA
REVIEWS FRONT
ZONING SUPERVISOR
PLANS VEGETATION SEAT RTLE W
COUNTER
REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 2/ 7119