HomeMy WebLinkAboutBuilding Permit Application All APPLICABLEINFO !MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: W*20r0 J ail Permit Number:
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Building Permit Application SEP a 2020
Planning and Development Services "e
Building and Code Regulation Division Commercial Residential '_'rtn feiit
2300 Virginia Avenue,Fort Pierce FL 34982 L.
Phone:(772)462-1553 Fax: (772)462-1578 — "' ----
PERMI�T APPLICATION FOR:RE�ROOF
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Address: 4003 AVE R, FORT PIERCE, FL 34947
Property Tax ID#: 2405-601-0166-000-5 Lot No.4/5
Site Plan Name: Block No. 9
Project Name:
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REMOVAL AND REPLACEMENT OF THE EXISTING ROOF SYSTEM. '�j
New Electrical Meter Second Electrical Meter
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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 x Roof 3/12 Pitch
Total Sq. Ft of Construction: 2588Sq. Ft. of First Floor: 2588
Cost of Construction:$ 15,600.00 Utilities: —Sewer _Septic Building Height:
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Name DOMINIQUE PIERRE Name:LLOYD CONSTANT
Address:3376 HATCHER STREET Company:ANDROS ROOFING CONSTRUCTION LLC
City: FORT PIERCE State:_ Address:2706 ATLANTIC AVE
Zip Code: 34981 Fax: City: FORT PIERCE State:FL
Phone No.7729244520 Zip Code: 34947 Fax:—
E-Mail:KAMJMM25@AOL.COM
ax:E-Mail:KAMJMM25@AOL.COM Phone N07724754915
Fill in fee simple Title Holder on next page(if different E-MailANDROSCONSTRUCTION@GMAIL.COM
from the Owner listed above) State or County License CCC1327225
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.
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 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
with I nder or an attorney before commencing work or recolding your Notice of Commencement.
Sign ure of Owner/ essee/� ntractor as Agent for Owner Sign ture of Con ractor/Li ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFST.LUCIE COUNTY OFST.LUCIE
Sw9M to(or affirmed)and subscribed bef
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Y ical Press a or Online Noz oeNy P sical Press ce or Online N i is
this da of LD 202W N$ this $-day of 202
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Personally Known &,-" OR Produced Ii Personally Known OR Produced I i
Type of Identification 9L cation of Identification
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( ignature of Notary Public-State of Flori (Signature of Notary Public-State of Flori ..
Commission No.� ��b2� ( '>K' Commission No.GC-Z5'
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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