HomeMy WebLinkAboutPare 5509 Eagle Dr_permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O �;• .
c`r Building 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: reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 5509 Eagle Dr, Fort Pierce FL
Property Tax ID #: 1312-500-0058-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Pare - 5509 Eagle Dr
KETAJILED_DESCRIIPTION OF WORK:
Remove existing roof material to deck; renail to code. Install 301b felt underlayment, install architectural shingles, install
two ply modified flat roof to low sloped area.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit – check all that apply:
Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_Mechanical _
Electric _ Plumbing _ Sprinklers _ Generator 1Y Roof Pitch
Total Sq. Ft of Construction: 2700 Sq. Ft. of First Floor:
Cost of Construction: $ 11750 Utilities: —Sewer _ Septic Building Height: 10'
OWNER/LESSEE: CONTRACTOR:
Name Thomas Medai Rick Pare
Name: Douglas E. Roe
Address: 5311 Echo Pines Cir E
Company: Code Red Roofers, Inc
City: Fort Pierce State: 'lam
Zip Code: 34951 Fax:
Address: 3341 SE Slater St
City: Stuart State: Ft_
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
State or County License CCC1325674
from the Owner listed above)
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:
_J
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instaitauon as irl U1LdLCU.
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 recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contra ctor/License Holder
STATE OF FLOIDA `
COUNTY OF 1I ��-���'1-IV
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
t is_2 A2 day of AS" Lj r 2020 by
t the I�
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
Com
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
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STATE OF FLORIDA ,, n
COUNTY OF K I► ITI����
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
t eis !f- � day oGh Sj 12020 by
Name of person making statement.
Personally Known _� OR Produced Identification
Type of Identification
Produced
Nota r Public- State o na re:No.
N ry Public- State of Florida )
KEGAN CRAWFO D
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EXPIRES Oetoher ()3. (. My COMMISSION # GG26
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