HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 25, 2020
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, ,Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: Power Roofing & Construction LLC
PROPOSED IMPROVEMENT LOCATION: 5804 Deer Run Drive
Address: 5804 Deer Run Drive Ft Pierce, FL 34951
Property Tax ID #: 1313-5`02-0127-000-1 Lot No. 550
Site Plan Name: sc>q i\1 C_ 'p rL,g 'I` 3 Block No. 502
Project Name: MW Real Estate Group Holdings 1 LLC
DETAILED DESCRIPTION OF WORK:
Total Roof Replacement, Synthetic Underlayment FL# 15216 R7, Asphalt Shingles FL # 5444 R15
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 _ 7ndoDoors Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof 5:12 Pitch
Total Sq. Ft of Construction. 3000 Sq. Ft. of First Floor: 3 DOO
Cost of Construction: $ 9,000.00 Utilities: —Sewer _ Septic Building Height: 16 FT
OWN ER/LESSEE:
CONTRACTOR:
Name MW Real Estate Group Holdings 'I LLC
Name. David Mitro
Address: 16850 Collins Ave # 112560
Company: Power Roofing & Construction LLC
City: Sunny Isles Beach State:
Zip Code: 33160 Fax: 305 622 3735
Phone No. 305 377 0742
Address: 255 Primera Blvd Suite 160
City: Lake Mary State: FL
Zip Code: 32746 Fax: 407 804 9769
Phone No 407 574 2239
E -Mail: NIA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail davemitro@gmaii.com
State or County License CGC 1325967
It 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 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 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 vour Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF = try LLz
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
x Physical Presence or Online Notarization
,K___.
this 7_5 day of 2020 by
this 25th day of JUNE 2020 by
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DAVID MITRO
Name of person making statement.
Name of person making statement.
Personally Known �< OR Produced Identification
Personally Known x OR Produced Identification
Type of identification
Type of Identification
P :tia: °e=., TRACY M THOMAS
Produced
Notary Public • State of Florida�
J ad o Commission # GG 981454
. CY M THOMAS
r;r 1� -, Notary Public - State of F&ida
M Comm. Expire Apr 23. 2024
yr g Commission !t GG °81454
(' ature of Notary Pu ic- StabgrdfcFlWdb yational Notary Assr .
(Sign tura of Notary Pu iC=`5on�u ��iro ationai Notar23,262 1
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y Assn.
Commission No. `0996 q5 (Seal)
Commission GG981454((Seal)
No.
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/2_0