HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSI D •IMPROVEMENT LOCATION: '
Address: Z_?�S' LUCV Ln FK)r4- Pi& C(! 3 q9 r
Property Tax ID #: 3y G S-- K-O2 ^ UUCS Lot No.
Site Plan Name: Block No.
Project Name:C�t'1Q
OkiJ
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Remove existing roof material to deck-, renail to code.j n f}�,I( S•e��-C�ll�r�?l (,rlderlG.urv01�'
n� 1(1s4ca I I Sy ry"O_- L r-004,2.
New Electrical Meter Second Electrical Meter
xE ""l�! INFORMATION ilum3 .A .. .*:9•
---------
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 Pitch
�/�
Total Sq. Ft of Construction: 21(YD Sq. Ft. of First Floor:
II
Cost of Construction: $ lg, 350 Utilities: —Sewer _ Septic Building Height:
i 01CONTRACTOR:
Name i- 0Name: D �y as ca
Address: .L UCS. L Company: Code Red Roofers, Inc.
City: I- e'r� P1er6r State: l L Address: 3341 SE Slater St.
Zip Code: 3L1q7 ( Fax: City: Stuart State: fl
Phone No. �2 - '}4� — Zt(� Zip Code: 34897 Fax:
E-Mail: Phone No 772-287-2829
Fill in fee simple Title Holder on next page ( if different E-Mail Permits@ coderedroofers.com
from the Owner listed above) State or County License CCC1326574
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.
NSTRUCTION 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 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 our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID l
STATE OY FLORIDA
COUNTY OF �0/✓
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
- Physical Presence or Online Notarization
this day of 12020by
this day of _2020 by
'Do-.���'�2�-
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
Produce
Produced
(Sire of ary Public- State o
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n No. Ss �a't>1YCUMMISSION#GG265
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2_ M1 COMMISSION#GG26505
EXPIRES0ctober03 202
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