HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1
Date: G 410 Permit Number:
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v L `, L 'U- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 13003 NW Harbour Ridge Blvd
Property Tax ID #: 4426-830-0018-000-8
Site Plan Name:
Project Name: Kurth Residence
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Remove existing tile roof system. inspect/repair deck to code, install new underlayment and new tile roof system
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windo s/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator Roof 6/12 Pitch
Total Sq. Ft of Construction: 2537 Sq. Ft. of First Floor:
Cost of Construction: $ 25,390 Utilities: _ Sewer _ Septic Building Height: 16'
OWNER/LESSEE:
CONTRACTOR:
Name CW Kurth
Name: Joseph Kolinoski
Address: 2555 SW Holly Dale Way
Company: Onshore Roofing
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.
Address:4401 SE Commerce Ave
City: Stuart State: FL
Zip Code: 34997 Fax: 772-283-1557
Phone No 772-283-1505
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail info@onshoreroofing.com
State or County License CCC1328994
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 I FORMATION:
DESIGNER/ENGINEER: NgLApp (cable
Name:
MORTGAGE COMPANY: _ Not ppBeatle`
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
F M PLE TITLE HOLDER: otApplicable
Name:
BONDING COMPANY: icable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made tg,dbtain 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 recordine vour Notice of Commencement.
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Signa re of Owner Les e/C ntractor as Agent for Owner
ti actor ' ense Holder
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Sworn o (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Pres ce or Online Notarization
✓Physical Presence or Online Notarization
this day of 2020 by
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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