HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r. 27 'dNp'a r +i1Nl N llLhiwillPf,:iiA
x Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Re -Roof Shingle
PROPOSED IMPROVEMENT LOCATION:
Address: 6105 Palm Dr
Property Tax ID #: 3402-609-0568-000-1 Lot No. 25
Site Plan Name: Block No. 45
Project Name: Robinson Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -Roof Shingle
Underlayment - Weatherlock Mat
Replace Ridge Vents
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _Gas Piping _Shutters Windows/Doors
Electric — Plumbing _ Sprinklers _ Generator X Roof 5/12 Pitch
Total Sp. Ft of Construction: 2240 Sq. Ft. of First Fioor:
Cost of Construction: $ 9,800 Utilities: Sewer —Septic Building Height: 20'
OWNER/LESSEE:
CONTRACTOR:
Name Kay Robinson
Name: Robert Donovan
Address: 6105 Palm Dr
Company: Total Home Roofing
city: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-519-3992
Address: 597 Haverty Court, Suite 40
City: Rockledge State: F
Zip Code: 32955 Fax:
Phone No 321-452-9223
E-Mail:
Fill in fee simple Title Holder on next page [ if different
from the Owner listed above)
E-Mail Christa@throofing.com
State or County License CCC1330489
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
NER/ENGINEER: _ Not Applica
Name:_
Address:
City:
Zip:
Phon
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is it 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 accessary uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Ow essee/Contractor as Agent for Owner
Signature of Cookrror/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm Reach
COUNTY OF Palm RPac:h
The forg ing instrument wa cknowledged before me
The forgo'�n g instrument w s acknowledged before me
this of 20If ,,0by
this, it ay of 20ZD by
Robert Donovan
Robert Donavan
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of FI ' =f"`
[Signature of Notary Public- Statrof Florida_:�t,pNSa�
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Commission No.GG939$$'3 - 5e� i lONlr� 930883
Commission No.GG930. 24
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REVIEWS
FRONT y
ZF3itT
SUPERVISOR
PLANS
VEGETATION
SE;R"' E
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW`
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev_ 2/7/19
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser — All rights reserved.
Property Identification
Site Address' GI R5 PALM ❑R
SectFo niRanee: 11IMSI4OF,
Map ID. 34! t IS
Zoning: RS-3C:ount
Ownership
Kay L Robinson
6105 Palm PJe
Fiul Piem:, Ff.34982
Legal Descrlptioll
I VDIA V RIVEP PSTATPS-UNIT-OFL 131.K 67I.OT 34 MAP-'4A i S) (CR 42l-I2A7)
Current Values
dusvm.ket Value: $133dKC1
Assessed Value: $Cdl io
Exemptions: 53fi,1M7
Tunable V;liuc: S21,530
Property taxes are subject to change upon change of ownership.
• Pasl loxes are nut a relsaLle projection of fu lnrc lxxn.
• The sale of a pmpecly %ill prompt the mn -al of all exeinpdaiis. assesnneut copy, and special
clasai8eationa.
Taxes Ior Lhis parcel SLC Tax Cull tYA Office ❑
Dwalmd TRIM for tbis pared: Download FDF ❑
Parcel ID: 34G2b09-0569-000. t
Account 38570
Use hype: 01 W
I unsd i mno: Saln[Lacic Cotmgy
Total Areas
Fi mshedlLi ader A r (SF)
Grass Skc lehcd Area (SF))
Land Si- (mans):
1--nd Sire (Sly-
All infomtauun is bclicw-ed to be cancel at Irus time, but is subject to change and is provided wiihom ady tvam4nm
�) Copwight 20-20 Saint Lucie County Property Appraiser. All nghls ms—.d
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