HomeMy WebLinkAboutPare 5507 Eagle Dr_permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: fel"OOf
PROPOSED IMPROVEMENT LOCATION:
Address: 5507 Eagle Dr, Fort Pierce FL 34951
Property Tax ID #: 1312-500-0057-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Pare - 5507 Eagle Dr _
DETAILED DESCRIPTION OF WORK: J
Remove existing roof material to deck-, renail to code. Install 301b felt underlayment, install architectural shingles.
New Electrical Meter Second Electrical Meter
71
4�
WMAT
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 5 Pitch
Total Sq. Ft of Construction: 3200 _ Sq. Ft. of First Floor:
Cost of Construction: $ 11200 Utilities: —Sewer _ Septic Building Height: 10,
;.:."AtCONTRACTOR:
Name Ricky P Pare Thomas Medal Name: Douglas E. Roe
Address: 5311 E Echo Pines Cir Company: Code Red Roofers, Inc
City: Fort Pierce State: Address: 3341 SE Slater St
Zip Code: 34951 Fax: City: Stuart State: FL
Phone No. 772-579-5269 Zip Code: 34997 Fax:
E -Mail: PareRealty@bellsouth.net Phone No 772-287-2829
Fill in fee simple Title Holder on next page ( if different E -Mail Permits@coderedroofers.com
from the Owner listed above) 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:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
%A/ith IPnriar nr an attnrnPv hefnre commencing work or recordinp- vour Notice of Commencement.
Rev. 5/6/20
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA n
COUNTY OF�Iit,A (L`(
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
slworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Pre ence or Online Notarization
this 1,40 day ofA'yLCtu4kf , 2020 bythis'l.�o
day of Cg� , 2020 by
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known ?( OR Produced Identification
Type of Identification
Type of Identification
Prod
Produced
at a of N ry Public- St
Sign ure of Not y Public- State o
`�� KEGAN CRAWFO
=°""r", KEGAN CRAWFORD
m cion No. Q d&1—^MISSION # GG265055
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Co missio o. 55 � ��COMMISSION # GG26
03.
°Fa°P FXPIRFS October 03. 2022
+�oFF�oP I;X'IRES' October
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Rev. 5/6/20