HomeMy WebLinkAboutReroof permit Application - 2900 Grove DriveAIIAPPLICABLE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTED
Date. 9'23-2020 Permit Number:
Building Permit Application
Plonning and Development Seruices
Building qnd Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: 1772l, 462-L553 Fax: |1772} 462'L578
Commercial Residential ,/
Address:
Propefi
Site Plan Name:
PERMIT APPLlcArloN FoR: REROOF
PROPOSED I M PROVEM ENT LOCATION :
raxrD*,&L{2O-Bto-ooo9 - ooo-b rotrrro.E * I
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION I N FORMATION :
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank
_ Electric _ Plumbing
_ Shutters
-
Windpws/Doors
- Generator U(*rr,
_ Gas Piping
_ Sprinklers
Pond
Pitch
Total sq. Ft of Construction, . k , 14. ?
-'t
cost of construction: S J
Ci, OO+,
lf value of construction is 25fi! or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $Z,SOO or more, a RECORDED Notice of Commencement is required.
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:CONTRACTOR:
Address:ASIO 3,
city: fic*:Fqr.q=o . state:ru
Zip code'#9-t{S
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company:
Address:
E-Mail
State or County License e
Name:
Zip Code:
Phone No
-) Fax:*7a) Zt;-O-qsbS
SU PPLEM ENTAL CONSTRUCTION LI EN LAT[/ INFORMATION:/
DESIGNER/ENGINEER:
Name:
/_Not Applicable
Address:
City State
Zip: Phone
MORTGAGE COI4PANY: ,/ Not Applicable
Name:
Address:
City:State:
FZip: Phone
FEE SIMPLE TITLE HOLDER: J-Not Applicable
Name:
Address:
City:
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 Countv makes no reoresentation that is srantine a Dermit will authorize the permit holder to build the subiect structure
which is in conflict with anv iipplicable Home Owilers As5ociation rules. bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult witti,|our Home Owners Association and review'your deed for any restrictions Which may apply.
ln consideration of the granting of this requested permil 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, wallt signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Recod 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 5t.
Lucie County and posted on the jobsite before the first inspection. lf you intend to obtain financing, consult
with lender or an attornev before commencine work or recordins vour Notice of Commencement.
Si$rfature of Owner/ Lessee/tractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF &i
(signature offNptary Public* State of Fl
Commission -" tt
Signatu re of Contractor/License
STATE OF FLORIDA
COUNTYOF
thiscr[> day of :2020 by
Type of ldentification
Produced
(Signature of N ry Public- State of Florida )
Commission No.
56c9 6c.tb.--*>{: as
6u-I aOEI,I:5;oYs
Name of person rnakin1fatemenLJ
Personally Known J-oR Produced
Type of ldentification
Produced
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REVIE\TUS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TU RTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETED