HomeMy WebLinkAboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO.BE ACCEPTED
Date: Permit Number 0 � •c- O_
o GC�G�D�
O /BUG 2020
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Resldentlal____ _____ ,FL
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Re-Roof
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Address: 159 NE Estia Lane, Port St. Lucie, FL 34983
Property Tax ID#: 3419-540-0052-000-3 Lot No. 14
Site Plan Name: RIVER PARK-UNIT 5 Block No. 44
Project Name: Metal Re-Roof
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D'E �AILe'b'E CR1PT)ORfOF V1fORK
Metal Re-Roof 13SQ; Pitch2]ILPlywood Decking; HT 15 FT
New Electrical Meter Second Electrical Meter
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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 X Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: 9400 Utilities: —Sewer —Septic Building Height:
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Name Joseph Drzal Name:Dominick Agostino
Address: 159 NE Estia Lane Company:RoofPro
City: Port St. Lucie State: FL Address:6555 Garden Rd#18
Zip Code: 3.4498831 Fax: City: Riviera Beach State:FL
Phone No. 9o� Zip Code: 33404 Fax: 561-370-6812
E-Mail: Phone No 561-249-0247
Fill in fee simple Title Holder on next page(if different E-Mail roofpro411 @gmail.com
from the Owner listed above) State or County License CCC1330094
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.
SUPPLEMENT; L'CONSTRUCTION 61', LAW INFORMATION
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DESIGNER/ENGINEER. —Not Applicable MORTGAGE COMPANY: — Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable
Name: 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.
ucie County,and posted on the jobsite before the first ' spection. If you intend to potain financiniEp consult
kith lender or an attopqe0before cohimencing work or recording our Notice of C mencement.
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Signature of Owner essee/Contrac Agen or Owner Signature of Contractor Hold r
STATE OF FLORI STATE OF FLORID
COUNTY OF �/YJ � COUNTY OF1�
Sw,drn to(or affirmed)and subscribed before me of Swo to(or affirmed)and subscribed before me of
V Physical Presence or Online Notarization Physical Presence or Online Notarization
this CS day of 2020 by this S7- day of A n
12020 by
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Name of person making st ment. Name of person making stat At.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Ic-Sta Iiprida (Signature o_No ry ublic-Statq oL F r' a
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Commission No. ::• r: Notary Pt(tSLal�tate o r orida Commission No. :°� Public-State of FI ri
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REVIEWS FR O I G SUPERVISOR PLANS VEGETATION S I U K I LL IMANG-ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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