HomeMy WebLinkAboutBuilding permit appAII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Planning and Development Serurces
Buitding and Cade Regulotion Division COmmefCial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721452-1553 Fax: (7721 462-L578
Residential x
PERMIT APPLICATI0N FoR: Re ROOf
PROPOSED I M PROVEM ENT LOCATION :
Address. 658 Malayan Ct Fort Pierce 34982
Lot No. 12
Block No. C
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove shingle roof, lnstall shingle tr L+ lCUf .t
Install Peel & Stick FL {. lLoO.-l B
New Electrical Meter Second Electrical Meter
CONSTRUCTION I NFORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical * Gas Tank * Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Windows/Doors _ Pond
Pitch_ Electric _ Plumbing XRoor
Total Sq. Ft of Constructionr 2'S0 Sq. Ft. of First Floor:
Cost of Construction: $ 10,500 Utilities: _Sewer _Septic Building Height:
lf value of construction is 25fi1 or more, a RECORDED Notice of Commencement is required.
tf value of HAVC is S7,5fi) or more, a RECORDED Notlce of Commencement ls required.
Propertyrax rD#: 3tl h=psF,. q:Q
Site Plan Name:
owNERILESSEE:CONTRACTOR:
Name
City:Ft Pierce State' F,\=
TiPCode: 34982 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address: 658 Mal
Name. Roland Wiley
Company . Shoreline Roofing
Address: 1973 SW Glendale $treet
ffi state: FL,*
ZiPCode: 34987 Fax:
phone y1s772-260-9565
E-Ma i I SHORELI N EROOF I NG@YAHOO. COM
state or county License ccc1331 1.70
SUPPLEMENTAL C0NSTRUCIION LrEN LAIV INFORMATION:/
DESIGNER/ENGINEERz v Not Applicable
Name:
Address:
City State
zip:
-Phone
-t
MORTGAGE COMPANY' \/ Not Applicable
Name:
Address:
City:State:Zip: Phone:
FEE SIMPLE TITLE HOTDER: J Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: "{ lvot Applicable
Name:
Address:
City:
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 Countv makes no representation that is erantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv a'pplicable Home Owilers As5ociation rules, bvlaws or and covenants that mav restrict or orohibit such
structure. Please consult witti'|our Home Owners Association and review your deed for any restrictions rrtihich 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 additiont
accessory structures, swimming pools, fences, wallg 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 commencins work or recordins vour Notice of Commencement.
STATE OF FLORIDACIi >l .couNTyoF cx. ot,rl.cl._,f _ ,,. ,,_, , .,,
Name of person making statq nt.
(Signature of ary Public- state of Florid
riz&Erelll O CO .s)E.'SA8;5i*fiu ss
EgE E?
*g5sPersonally Known t/ .oR Produced Id
Type of ldentification
Commission *". 1 (
Signature of Contrictor/Licerfse Holder
Type of ldentification
Produced
commission *" ? (Se
STATE OF FLORIDA o i JcouNTYor _DL.([ lCl ,tt _
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=FTES
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SUPERVISOR
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