HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLET
FOR APPLICATION TO BE ACCEPTED
Date: 7/14/2020
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Permit lumber:
U11ding Permit Application
Planning and Development Services
Building and Cade Regulation Division
2304 Virginia Avenue, fort Pierce FL 34952
Phone: (772) 462-1553 fax: (772) 462-8
PERMIT APPLICATION FOR : Rei
PROPOSED IMPROVEMENT LOC
Address: 1801 N 46th St., Fort Pierce, FL
Property Tax i D #: 2406-502-0240-000-7
Site Plan Name.
Project
DETAILED DESCRIPTION Of WO
Remove and replace the pitched and flat roof
New Electrical Meter Second
CONSTRUCTION INFORMATION:
Additional work to be performed under t
Mechanical Gas Tank
Electric
Plumbing
Total Sq. Ft of Construction: 2538
Cost of Construction: $ 13,000.00
OWNER/LESSEE:
Name Carolyn Smith
Address: PO Box 865
City: Fort Pierce
Zip Code. 34954 Fax:
Phone No.
-M iI:Dorfra n @g it-com
Fill in fee simple Title Holder an next pa
from the owner listed above)
of
Commercial
PION:
947
Residential
Lot No.
IT..�
Block No. P
terns. Install a rubberized system on the flat and a 5V metal system to the pitched.
trig i Meter
s permit -- check all that apply:
Gas Piping
_ Shutters
Windows/Doors
� Pond
Sprinklers
� Generator
Roof 4/12
Pitch
Sq. Ft. of First Floor. 1814
TUtilities: Sewer , Septic Building Height:
CONTRACTOR:
Name: Lloyd Constant
or a r : Andr Roofing* Construction LL
State: Ad d r Atla nti c Ave
t • Fort Pierce State: F L
ZipCode : Fax:
Phone lD 4 1
if different E-Mallandrosconstruction@gmail.com
State or County LicenseCCC1 3
If value of construction is 2SOD or more, a REC RDED Notice f Commencement 6 required*
If value of HAVC is S7,500or more., a RECORDSf Commencement is required.
SUPPLEMENTAL CONSTRUCTION
DESIGNER/ENGINEER: n Not
Name:
Address:
City: S
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not
Name:
Address:
City:
Zip: Phone:
IEN LAW INFORMATION:
applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
ate: City: State:
Zip: Phone:
pplicable BONDING COMPANY: XNot Applicable
Narne.
Address:
City:
Zip* Phone:
OWNER/ CONTRACTOR AFFIDVIT: Appli Lion is hereby made to obtain a permit to do the work and installation as indicated.
i certify that no work or installation has comma ed prior to the issuance of a permit.
5t. Lucie County makes no representation that i granting a permit will authorize the permit holder to build the subject structure
which is in conflict with and applicable dome Q Hers Association rcales, bylaws or and covenants that may restrict or prohibit such
structure. please consult with your Home Owne Association and review your died for any restrictions which may apply.
In consideration of the granting of this r q u t permit, it, i do hereby agree that i will, in all respects, perform the work
i n accordance with the approved plans, the Flor a Building Codes and St. Lucie County Amendments.
The following bu f ii n permit applicafions are a mpt from undergoing a full concu rlrenc review: room additions,
accessory structures, swimming pools, fences, 11 ., signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to R ord a Notice of Commencement may result in paying twice for
improvements to your property. A tice of Commencement must be retarded in the public records of St.
Lucie County and pasted on the jobs e before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before c mencing work or recording your Notice of Commencement.
Signature owner/ Lessee/Contractor as Ag
t for Owner
Signature of ntractor/License H Id - _
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY IE
COUNTY OFSTLU IE
Sworn to (or affirmed) and subscribed before
a of
sworn to (or affirmed) and subscribed before nee of
X Physical Presence r Online of
ation
>4 Physical Presence orOnline
th l S 20TH day of JULY F 2020 h
this 20TH d ay o f ,DULY 2020 b
LLOYD M CONSTANT
LLOYD M CONSTANT
Name of person a king statement,
Name of person making statement.
Personally Known OR Produced Ident
fication
Personally Known X. OR Produced Identification
Type of identification
Type of identification
Produced
Produced
(Signature r Public- t
HL DEA
(Sito of rubli ""4'ASHLEY DEAN
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DATE
RECEIVED
DATE
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