HomeMy WebLinkAboutBuilding Permit ApplicationAB APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JUNE 12,2020 Permit Number:pUg-,N b c73g3
Planning and Development Services
RECEIVED
Building Permit Applica on JUN 17 2020
ST. ucie Cou , Permitting
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: REROOF _ 1
PROPOSED IMPROVEMENTLOCATION:
Address: 6731 DUL.CE REAL,FORT PIERCE FL.34951
Property Tax ID #: 1306-501-1130-000-7
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name: JERRYEASTWOOD
DETAILED DESCRIPTION OF WORK:
REROOF TEAROFF SHINGLES AND INSTALL 5V METAL
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 8000.00
_ Gas Piping
Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor:
Lot No.57
Block No. 73
Windows/Doors Pond
Roof 5/12 Pitch
Utilities: _Sewer _Septic Building Height:
OW N ERAESSEE:
CONTRACTOR'
Name JERRY EASTWOOD
Name: JOHN G CANNON
Address:6731 DULCE REAL
Company: JOHN G.CANNON
City: FORT PIERCE FL- State: _
Zip Code: 34951 Fax:
Phone No.
Address:7901 CITRUS PARK BLVD
City: FORT PIERCE State: FL
Zip Code: 34951 Fax. 7724680272
Phone No 7724680202
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail JGCANNONROOF@ICLOUD.COM
State or County License CCC1330664
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of I4AVC 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.
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 Huth 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 exemptfrom 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: Yourfailure 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.
ign ure of er/ Lessee/Contractor as Agent for Owner
Sign re of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Sir. 1 c e
COUNTY OF Sk. X- oe,*,
Swam to (or affirmed) and subscribed before me of
Swam to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this X1 day of 5 u wQ 2020 by
this _11 day of S u wtiIZ:— 2020 by
5C) 4"6h
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced ID t—
Produced
M
(Signature of NoW Public- State of Florida)
(Signature of lfrJic-tl�.1A ®Nt�ti 022023
� IE GNENS
Commission No. � o amnR
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de EXPIRES: Deremher 16, 2020
Commission N ' Noh7 A {I m
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Rev. 516120