HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JUNE 12,2020 Permit Number: cP DP b = 3IR %y—
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JUN 17 2020
Building Permit Applicati QIR Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Aven ue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR:REROOF
Address: 6735
MPROVEMENT LOCATION:
DULCE REAL; FORT PIERCE FL 34951
Property Tax ID #: 1306-501-1131-000-4
Site Plan Name: SPANISH LAKES FAIR'
Project Name: RODNEY PERKINS
DETAILED DESCRIPTION OF WORK:
YS
Residential X
}o c A-
� hX
FEAR OFF SHINGLES,NAIL OFF ROOF,DRY IN,INSTALL 5V-METAL
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: '
58
o. 73
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping —Shutters 1 -Windows/Doors _ Pond
_ Electric _ Plumbing _Sprinklers _ Generator :Roof, 5/12 Pitch
Total Sq. Ft of Construction: 2000 Sq. Ft. of First Floor:
Cost of Construction: $ 8000.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RODERY PERKINS
Name: JOHN G CANNON -
Address: 6735 DUL'CE REAL'
Company: JOHN G'.CANNON
City: FORT PIERCE' : FL` ''State: _
Zip Code: 34951 Fax:
Phone No.
Address: 7901 CITRUS PARK.EILVD
City: FORT:.,PIERCE State: FL
Zip Code: 34951 Faz: 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 License00 C.1310 6(A
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.
>>SUPPIEll/IENIAI
CONSTRUCTION'LIENiLAW 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:
Applicable
Name:
_Not
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 restrictor prohibit such'
structure. Please consult wrath 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,l 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 attornev before commencing work or recording vour Notice of Commencement.
0of
Owner/ Lessee/Contractor as Agent for Owner
ignat a of Contractor/License o der
STATE OF FLORIDA
STATE -OF FLORIDA
COUNTY OF
COUNTY OF SA-': Loa c�
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or _ Online Notarization
Physical Presence or Online Notarization
this _Li , day of 7 t)hQ 2020 by
this X1 day of 5uv.Q 2020 by
'C oN, n Ce r.,nov\
t��. n co hhar
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification•
L L
Type of Identification
L,N t,
Produced
Produced
(Signature of Notar ublic- State of Flo r' Bo u23
(Signature " f���,ubIMY � ;-ad:d�a23
iu its pio
Commission No.&Cro o M ta•�R
s.e WM :oecemberta. ,
Commission ¢• nomnw"°0
f.,sC Qf UOd6
.,or;;.
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Rev.5/6/20