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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/19/2020 Planning and Development Services Permit Number: Building Permit Application Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1SS3 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 2241 NW SEAGRASS DR, PALM CITY 34990 Property Tax ID #: 4426-805-0018-000-0 Site Plan Name: Project Name: PIERSON RESIDENCE DETAILED DESCRIPTION OF WORK: TILE RE -ROOF New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Residential X Lot No. Block No. 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: 3,266 Cost of Construction: $ 29,950.00 Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: 15 OWNERAESSEE: CONTRACTOR: Name PETER PIERSON Name: ARTHUR FRANK Address:2241 NW SEAGRASS DR City: PALM CITY State: _ Zip Code: 34990 Fax: Phone No. 561-795-5566 Company: ROOFING SYSTEMS OF FLORIDA INC Address: 583 105 AVENUE N STE. 9 City: ROYAL PALM BEACH State: FL Zip Code: 33411 Fax: Phone N0561-795-5566 E-MaiIADM IN@MYROOFINGSYSTEMS.COM E-Mail:ADM IN@MYROOFINGSYSYTEMS.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County LicenseCCCO29554 It value of construction is Z500 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; NIA Address: MORTGAGE COMPANY: — Not Applicable Name: N/A Address: City: State: Zip: Phone: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: 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 1 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 vourXbtice of Commencement. aA �6- Signature of Owner/ Lessee/Contractor as Agent for Owner Sign atur o ontractor/License Holder STATE OF FLO IDAI STATE OF FL . IDSA COUNTY OF YJ i IC C +' COUNTY OF ro /A.— c"ek Sw�gyn to (or affirmed) and subscribed before me of Ph sical Prese c or Online Notarization this day of.1J1VV 2020 by Name of person making statement. Personally Known Type of Identifical Produced )l Swor o (or affirmed) and subscribed before me of Ph sical Prestricp or Online Notarization this - day of ,4 2020 by Name of person making statement f� onally Knowni°,te-{- - Notary Public -State of Fil r. of Identification�SFrrrlr,, CHARLENE DILLIfy{; <PRY PUd Commission # GG 956 C1 uced 3x° `�sNotary Public -Stat© of Flo My Commission Expir s _* �= ommission # GG 9853 April 03 , 2024 .�.,),� rrr�q+��f�°ems My Commission EXpirE of n` Aoril 03, 2024 of Notary Publir- State of Florida ` (Signature Y ) (Signature of Notary Public- �i"�` ''� Commission No. Tip cJ&'3(Seal) Commission N s�5� (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANSVEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED