HomeMy WebLinkAboutRe Roof application - 487 SE Verada Ave$E"Euc[ER+
AII APPLICABLE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
FT'Building Permit Application
Planning and Development Seruices
Buitding and Code Regutation Division COmmefCial
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721462-1553 Fax: (7721 462-L578
Residential
PERMIT APPLICATION FOR: Re-fOOf
PROPOSED IM PROVEM ENT LOCATION :
Address: 487 SE Verada Ave Port St Lucie, FL 34983
Property Tax lD #:3419-530-0056-000-0 Lot No.56
Site Plan Name:Block No. 32
Project Name:
DETAILED DESCRIPTION OF \A/ORK:
Remove shingles, lnstall 1" Snap Lock Metal a YC'72,5
High Temp Peel & Stick Underlayment ?' F Ll. L0OqA
New Electrical Meter Second Electrical Meter
CONSTRUCTI ON I NFORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping
_ Sprinklers
_ Shutters _ Winflows/Doors Pond/
-
Generator { Roof
-
Pitch_ Electric * Plumbing
Total Sq. Ft of Construction: 3J50 Sq. Ft. of First Floor;
Cost of Construction: $ 19,700 Utilities:Sewer _ Septic Building Height:
lf ualue of construction b 25fi1or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $7,5(X, or rrore, a RECORDED Notiee of Commencement is requlred.
owNER/LESSEE:CONTRACTOR:
Name Robert A Tearle
Address:487 SE Verada Ave
City:Port St Lucie State' FL
zipcode' 31981 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Roland Wiley
Company: SfIORELINE ROOFING
Address.1973 SW GLENDALE ST
City: PORT ST LU9.|E State: FL
ZiP Code' 34987 Fax:
phone pe772-260-9565
E-Ma i I SHORELI NEROOFI NG@YAHOO.COM
State or County License CCC1331170
["D ri -*j*:**
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add
City
zip:
ress:
State:re
Phone
MORTGAGE COMPANY:
-
Not Applicable
Name:
Address:
City:State:
zip:Phone
FEE SIMPLE TITLE HOTDER: Not Applicable
Name:
Add
City
zip:
ress:
a
Phone:
BONDING COMPANY: _Not Applicable
Narne:
Address:
City:
Zipz 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 Countv makes no reDresentation that is srantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv iipplicable Home Owiers AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult witti'iour Home Owners Association and review your deed for any restrictions Which may apply.
ln 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. lf you intend to obtain financing, consult
with lender or an attornev before commencing work or recording vour Notice of Commencement.
Swolft to (or affirmed) and subscribed before me of
J Phvsical Presence or Online Notarizationthi l^davof Owur:F- 2o2o bv
Personally Known / OR Produced ldentification
Type of ldentification
Signature of Owner/ Lesseeltontractor as Agent for Owner
STATE OF FLORIP,A \ .,b[ rAcouNTYoF. bt_.L4.-ILL0,,__,,,.,,, . _
Name of person making statemefrt.
(Signature of N Public- State of
Commission No.
STATE OF FLORID
COUNTY OF
/
Type of ldentification
Produced
ry Public- State
No.GGlqzbbq
Signature of Contractor/Lice e Holder
S*rrtto (or affirmed) and subscribed before me ofJ physical Prese.qce or Online Notarization
thi.Qfbdayof ftr 'rtr nE. . zo2o by
Name of person making stat
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