HomeMy WebLinkAboutPermit Application (1)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/6/2020
Permit Number
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Yes
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2740 Iroquois Ave Fort Pierce, FL 34946
Legal Description: SAN LUCIE PLAZA S/D-UNIT 1- BLK 47 LOTS 31 AND 32 MAP 14/33N OR 1799.1 46
Property Tax ID ##: 1428-702-1001 -000-6 Lot No. 31 & 32
Site Plan Name: Block No. 47
Project Name: Lawrence Salter
Setbacks Front Back: Right Side: Left Side:
Re -Roof - Remove existing roof and replace with new 26 ga Mill Finish 5V Crimp Metal
wutimonai worKta ne errormea unaertnis permit —check all apply:
LJHVAC ] Gas Tank 0Gas Piping _ Shutters Q Windows/Doors
11 Electric ElPlumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft
of First Floor
Cost of Construction: $ 19,820.00 Utilities: L_J Sewer Septic Building Height:
OWN£RAESSEE:
CONTRACTOR:
Name Lawrence Salter
Name: Daniel Simmons
Address: 2740 Iroquois Ave
Company: Professional Roofing Contractors Inc
City: Fort fierce State: FL
Zip Code: 34946 Fax:
Phone No.
E-Mail:
Address: 3046 SE Dominica Ter
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. 772-286-3627
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail- customerservice@professionalroofinginc_com
State or County License: RC0052013
11 value or consirucrion is,>[Suu or more, a KELU cUtU Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applica
Name: _
Address:
City: _
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name: _
Address:
City:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 math 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 Cornmencemerrt may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF Martin
�2.�-rt.rtevza. s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Martin
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of L 20 � by this day of 20 d,� by
tot -()-
(Name of person acknowledging) (Name of person acknowledging)
(signature of Notary Public -fate of Florida )
Personally Known _X OR Produced Identification
Type of Identi%ption Produced
=o�+� �i SHERRELLSOjoFiEw
Cammissio#i •' * CoMM=Won*GG98B3tqSea1)
"� et Eyes ay 1 t}, 2024
0-d*d ihm DxW NoWy SwvJW
Revised 07/15/2014
(Signature of Notary Public- Oate of Florida )
Personally Known OR Produced Identification
Type of Identification PWO ced
<6 SHERRUL SCIJOFIELD
Commission No. * * Common # 16
y, �o PIM May 10, 2024
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