HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
O.
-� 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: Roof
Address: 7803 Penny Lane Fort Pierce FL 34951
Property Tax ID#: 1301-607-0344-000-3 . Lot No.11
Site Plan Name: Block No. 84
Project Name: Roberta Williams
Remove existing shingles
Install Tri-built Sand-R SA Shingle Undrlayment -:rL! �p( `� � n ��, Lugar& ---V_L,2891 (o
,install Lomanco ridge vent, IKO Dynasty ShinglesL1 �Z -
New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing Sprinklers _ Generator
Total Sq. Ft of, Construction: 1 f
Cost of Construction: $ 1 `�1 30
_ Windows/Doors
/Roof 4/12
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Pond
Pitch
Name Roberta Williams
Name:JoshuaSchroeder
Address:7803 Penny Lane
Company -Mario Roofing INC
City; Fort Pierce State:
Address:861 SW Lakehurst Drive
Zip Code: 34951 Fax:
City: Port Saint Lucie State: FL
Phone No�A-4) �32 S�-�'�
Zip Code: 34983 Fax':
E-Mail:
Phone N0772-871-2489
.Fill in fee simple Title Holder on next page (if different
E-Mail ?'y')04r'00
from the Owner listed above)
State or County License CCC 1331207
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.
MORTGAGE COMPANY: Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address
City:
City:
Zip: Phone:
Z'ip: 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 pa g r" or
improvements to your ropert ice of Commencement must be recorde ublic rec ds of St.
Lucie County an ed a jobsi before the first inspection. If you i d to ain financ' g, consult
with lender an attor a ore encin work or recording ou tice a nt.
S' a of Owner/ Lessee/Cont r as Agent for Owner Si a of Contractor/License Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF saintLude COUNTY OFsaintLuote .
S orn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization Physical Pre ence or Online Notarization
this day of 1 2020 by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced IdentificationUU4 Person Iy Known OR Produced Identification�CQrl
Type of Identification Type of Identification
Produ d Produ d
n i to (Signature of N4
g
�Pubtic
�,t10" ° Notary State of Florida Y vB Notary Public State of Florida
ADOLI MIRONCHUK
Commis % a My Cemrrilasic+n f:o ossssl(Se Commission No. _° �� AOOL! MIRONCN, . ISea1)
9jt o Expires o4127l202i ommisslon GG 988
or Sxpi f" 04/27/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.