HomeMy WebLinkAboutBuilding Permit Application- Goni 3All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 08120/2020 Permit Number:
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: Re -roof Permit
PROPOSED IMPROVEMENT LOCATION:
Address: 185 Northeast Estia Lane Port St. Lucie, FL 34983
Property Tax I ❑ #:
Site Plan Name:
3419-540-0039-000-6
Project Name: Ahmed Goni- re -roof
DETAILED DESCRIPTION OF WORK:
Modified bitumen flat re -roof
New Flectrical Meter Second Electrical Meter
Lot No. 36S
Block No. 40E
( 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: ,_ � f q lz_ Sq. Ft_ of First Floor: I, q Z
Cost of Construction: $ 8,500.00 Utilities: —Sewer —Septic Building Height: 3l12
OWNER/LESSEE: CONTRACTOR:
Name Ahmed Goni Name: Andrew K. Nanan
Address: 185 Northeast Estia Lane Company: Florida Roofing Systems
City: Port St_ Lucie State: FL Address: 14116 SW 278th ST
Zip Code: 34983 Fax: City: Homestead State:
Fl
347
Phone No. () 226-8707 Zip Code: 33032 Fax:
E-Mail: a.masud.goni@gmail.com Phone No 786-271-7663
Fill in fee simple Title Holder on next page ( if different E-Mail floridaroofingsystems22@gmaii.com
from the Owner listed above) state or county License CCC1331622
if value of constructinn is 7rnn nr mnrn � up rm on -__ _ _
--- -_ ____ _. ... .�, .��..,....�.. avulc U, 4viiiffiencemeni 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: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X 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 accessary 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 le er or an attornney before commencing work or recording our Notice of Commencement.
as Agent for Owner I 5}4&Attr-6f iMntf a€tor/Lice Holder
STATE OF FLORIDA STATE OF FLOR�_11
COUNTY OF _'- _��' COUNTY OF �Mi N
Swo (or affirmed) and subscribed before me of Swor to (or affirmed) and subscribed before me of
Phi al Presence or Online Notarization Ph ical Prese ce or Online Notarization
this ay of �.� ,,r , 2020 by this �y of 2020 by
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