HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Cz.Urs
O J' 11 v
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: cefoo f _
Address:
C
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J
New Electrical Meter Second Electrical Meter_
FC-ONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 2. 3GO
Cost of Construction: $
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: Sewer _ Septic
Name V_aPdayk 9— ALMO -
Address: 5410 4+C_1!4Zr1 - �r _
City: j O�'t pier -(Le U State: FL
Zip Code:Z Fax:
Phone No. ��Z Lf&0.—�C1G(
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E -Mail:
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Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Douglas E Roe
Building Height: I () l
Cnmnanv: Code Red Roofers, Inc.
Address: 3341 SE Slater St.
City: Stuart State: fl
Zip Code: 34997 Fax:
Phone No 772-287-2829
F -Mail permits@coderedroofers.com
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.
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
Name:
BONDING COMPANY: _Not Applicable
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 attornev before commencing work or recording vour Notice of Commencement.
zz� 1
Si ature of Owner/ essee/Contrac or as Agent for Owner
Signature o Contractor/L' ense Holder
STATE OF FLORIDA l
STATE OF FLORIDA
COUNTY OF anis
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 12020 by
� Physical Presence or Online Notarization
this day of 12020 by
NzKe of person making statement.
Name of person making statement.
Personally Known �_ OR Produced Identification
Personally Known /V OR Produced Identification
Type of Identification
Type of Identification
Produce
Produced
(�ureary Public- State of Florida)
(gnat of No u lic- State of Florida
'Y�� �t"° (t��)AN CRAWFORU
MY COMMISSION # GG265055
EXPIRES October 03, 2022
N CRAWFO
MISSIUN # (i(i26
Commissi o �SFW7FS- October 03 2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20