HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/2412020 Permit Number:
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f L� E c f- Building Permit Application
Planning and Development5ervices
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 7206 Cabana Ln., Fort Pierce, FL 34951
Property Tax ID #: 1301-613-0270-000-2
Site Plan Name: Lakewood Park Unit 11
Project Name:
DETAILED DESCRIPTION OF WORK:
Reroof residence with TPO Single Ply Roof System
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION.
Lot No.1
Block No. 149
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 1 1/2 /12 Pitch
Total Sq. Ft of Construction: 500 Sq. Ft. of First Floor:
Cost of Construction: $ 2250 Utilities: —Sewer _Septic Building Height: 14 ft
OWNER/LESSEE.
CONTRACTOR:
Name Raphael Liming
Name: Luke McConnell
Address:7206 Cabana Ln.
Company:Modtek Roofing Inc.
City: Fort Pierce State: _
Zip Code: 34951 Fax:NA
Phone No.772-579-9744
Address:1360 Old Dixie Hwy SW Ste 103
City: Vero Beach State: FL
Zip Code: 32962 Fax: NA
Phone N0772-213-8437
E-Mail:NA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailneedroof@rnodt.
State or County License CCC 1326977
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: x Not Applicable
Name:
Address:
MORTGAGE COMPANY: XNot Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: x 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: roam 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 your Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Voider
STATE OF FLORIDA�-
STATE OF FLORID
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COUNTY OF
COUNTY OF yyj; a"n'Ri11 f.,r
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 `3l day of �c4 t T 2020 by
this OL 7 day of (AW 2020 by
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Name 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
Produced � Sc�n0..�lu� (_J11
ProducedT50nA.J (Jytr�w rl
(5ignatLYe of Notary Public- State of Florida)
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