HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential ty---
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 5609 Killarney Ave, Fort Pierce FL 34951
Property Tax ID #: 1301-613-0376-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Rueter - 5609 Killarney Ave
I= III RK
Remove existing roof material to deck; renail to code. Install self -adhered underlayment, install 5v metal roof.
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 _ Windows/Doors _ Pond
Electric Plumbing _ Sprinklers _ Generator ,Roof Pitch
Total Sq. Ft of Construction: 2800 Sq. Ft. of First Floor:
Cost of Construction: $ 14400 Utilities: —Sewer —Septic Building Height:
Name William F & Janice S Rueter
Address: 5609 Killarney Ave
City: Fort Pierce State: —
Zip Code: 34951 Fax:
Dhnno Nn 772-448-4688
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Names• Douglas E. Roe
Company: Code Red Roofers, Inc
ABH,Pt�• 3341 SE Slater St
City: Stuart State: FL
Zip Code: 34997 Fax: _
Phone No 772-287-2829
E-Mail Permits@coderedroofers.com
State or County License CCC1325674
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: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone
MORTGAGE COMPANY;
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
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
trlucture. with
w with yoiurHle Home Owners ome Owners Association son and reviewylaws or your deed for any restricnants tions which may apply.
such
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 attorne before commencln worK ut Itf LU1UII VUI IVULJIC
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature o Contractor/License Holder
STATE OF FLORI A n ) STATE OF FLO IDA
COUNTY OF n4 I �," COUNTY OF >Pi�� /7,-,--)
Sworn to (or affirmed) and subscribed before me of
X Physical PresAnce or Online Notarization
this day of �, 2020 by
NaFne of person makiytatement.
Personally Known OR Produced Identification
Type of Identification
Prod_
of Nota ublic- State of Florida )
i No. O (Seal)
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificatio
Produced
(Signs a of Not Public- State of Florida )
mmis No. (Seal)
SUPERVISANGRO
REVIEWOR I REVIEW I PLANSV EV ON I S EV EWEGETATIEATURTLE M EVIEWVE
"°', KEGAN CRAWFORD
KLUAN% KAWrVnv
EXPIRES October 03, 2022