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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/21/2020 Permit Number: S`1, LlL C Name: V L c 1, e L Lz -- 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: Robert Hayes E -Mail PROPOSED IMPROVEMENT LOCATION: Address: 906 Elyse Cir Property Tax ID #: 3416-801-0023-000-2 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Lot No._ Block No. AFTER THE FACT: Repair leaks in rear roof deck_ Remove old clay barrel tiles and undertayment, replace any damaged roof deck, cover roof deck with ultima ps30 underlayment New Electrical Meter Second Electrical Meter 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 5/12 Pitch Total Sq. Ft of Construction: 1100 Sq. Ft. of First Floor: Cost of Construction: $ 4000 Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Robert Hayes Name: Address: 906 elyse kir City: Port St Lucie, FL State: Zip Code: 34952 Fax: Phone No. 804 678 9265 Company: Address: City: State: Zip Code: Fax: Phone No E -Mail: rhayesl604@aot.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E -Mail State or County License If value or construction is esuu or more, a RMURDE© 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: City: Address: 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 ancf covenants that may restrict or prohibit such structure. Please consult mth 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 r with lender or an attorney before commencing work or recording your Notice of Commencement. Signature of 0w r/ Lessee/Cgntractor as Agent for owner Signature of Contractor/license Holder STATE 0 r STATE OF COUNTYQ `. C011NTYOFORIDA Swor to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of hysical Pres nce or Online Notarization Physical Presence or Online Notarization thi day of 2020 by this day of 2020 by Name of person making tement. Name of person making statement. Personally Known OR Produced Identification W Personally Known OR Produced Identification Type of Iden ifi t�2��0~— II _() Type of Identification Pro used Produced d a ure of Notary Public- State of Florida } (Signature of Notary Public- State of Florida j Commission No.� Seal NA'TAVIA CHE { MENS FRYE NOTARY Qwmission N . (Seal) COMMONWEAL HOF VIRGINIA MY COMMISSION Ex. IRES JUNE 30, 2 )2� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.