HomeMy WebLinkAboutPermit Appl - 7401 Miramar AvAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6.17.20 Permit Number:
no my
ty
---- - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXXXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITAPPLICATION FOR: New ROOF
. _ . - _
PROPOSED IM"` RO EMENT LOCATION:"
Address: 7401 Miramar Av.
Property Tax ID #: 1301-601-0064-000-8 Lot No.18
Site Plan Name: Christy Curtis Block No. 5
Project Name:
DETAILED DESCRIPTION OF WORK:
New Roof with Peel and Stick Underlayment 5 V 411M I
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 4/12 Pitch
Total Sq. Ft of Construction: 1661 Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: _Sewer _ Septic Building Height:
OWNER/ -a
Name Christy Curtis Name: Adam A Ogilvie
Address:7401 Miramar AV. Company:Thompson's Remodeling & Home Repair, Inc.
city: Fort Pierce, FI. State: _ Address: P.O. Box 430
Zip Code: 34951 Fax: City: Vero Beach State: FI
Phone No.386-546-6722 zip Code: 32961 Fax: 772-564-6760
E-Mail: Phone No 772-564-8008
Fill in fee simple Title Holder on next page ( if different E-Mail Michelle@thompsonsremodeling.com
from the Owner listed above) State or County License CCC 1332375
:W 3 J :5
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.
SUPPLEMENTAL CONSTRUCTION
LIEN LAW
INFORMATION:.
DESIGNER/ENGINEER: xxx Not
Name:
Applicable
MORTGAGE COMPANY:
Name:
xxx Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: xxx Not
Name:
Applicable
BONDING COMPANY:
Name:
xxxNot Applicable
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.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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
n 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
witbHender or ajh attornev before commencing work or recordine vour Notice of Commencement.
Agent for Owner I Signature of Con se Holder
STATE OF FL
COUNTOY OFORZv d :a R:u� ;m31 COUNTY OFORIDA
Sworn to (or affirmed) and subscribed before
Physical Presence or Online Nota
this day of 2020 1
Name of person }Waking statement.
Personally Known !/ OR Produced
Type of Identification
Commission No. /%tiDq (Seal)
Sworn to (or affirmed) and
subscribed before me of
Physical Presence or Online Notarization
this _ day of 2020 by
z ; m Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.S/6/20
Rev.S/6/20
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State:
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 ermit will authorize the permit holde to build the subject structure
which is in conflict with anV applicable Home Owners Association rules, bylaws or and covenants tat 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 OR AN ATTORNEY BEFORE RECORDING YOU OT OF MMENCEMENT."
Signature of Contractor/Lice se Holder
Signature of owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA �7
COUNTY OF
COUNTY OF 1rti:an LG : t re_ r
The forgoing instrument was acknowledged before me
this _ day of , 20_ by
The forgoing Instrument was acknowledged before me
tills �i�day of �5hA � , 20 20 by
�8n1e
Name of person making stat nt.
Name of person making statement.
Personally Known OR Produced Identification_
Personally Known A OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced
ra
(
(Signature of Notary Public- State of Florida)
Commission No. (seal)
(Sig at a of Nota a'
RACHELE.BARRETT
Commission No, a MYCOMMIgNOblINGG285237
EXPIRES: December I$ 2022
a WicL'ndervml
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.