HomeMy WebLinkAboutPermit Application_submittals@stlucieco.orgALL APPLICABLE INFO MAST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 91112020 Permit Number:
wgo
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 APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 8201 S Indian River Dr Ft Pierce 34982
Legal Description: 18 36 41 N 94.89 FT OF S 389.25 FT OF GOVT LOT 3 LYG E OF FEC RRRM-LESS RD RAN AND LESS W 408 FT-(I.I t AC) (OR 1693-73
; 2001-1802)
Property Tax M #: 3518-313-0001-150-3 Lot No
Site Plan Name: Ashley Block No.
Project Name: Ashley
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing roof and replace with 5V 26G Mill Finish Metal
CONSTRUCTION INFORMATION:
Additional work toe Dertormed under this permit— check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
011lectric ElPlumbingSprinklers Flenerator R1 Roof
Total Sq. Ft of Construction: SFt_ of First Floor:
Cost of Construction: $ 10,6150 utilitiest Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name RobertAshley
Name: Daniels Simmons NwAL
Company: Professional Roofing Contractors Ins
Address: 8201 S Indian River Fr
City: Ft Pierce State: FL
Zip Code: 34982 Fax:
Phone No.
Address: 3046 SE Dominica Ter
City: Stuart State:
Zip Code: 34997 Fax:
phone No. 772-286-3627
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail:
State or County License: RC0
r pr
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 'aorto. Coi7lrnissi n 14%,GG 746
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
FRONT
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: Not App
Name:
icable
Address:
City: State:
SEA TURTLE
City: State:
Zip: Phone:
Zip: Phone:
COUNTER
FEE SIMPLE TITLE HOLDER: i/ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
REVIEW
Address:
City:
Zip: Phone:
Address:
City:
REVIEW
Zip: Phone:
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, wails, signs, screen rooms and accessory uses to another non-residential L se
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 j bsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement. I f
_ Signature of Owner/ Lessee/Agent
STATE OF FLORI A STATE OF Fl.
COUNTY OF f,� COUNTY OF
The A
ing instr mgnt.was acknowledged before me The for&ofing instrument was acknowledged before
this day of 20 _ this __�� day of s ciLAXP .i 20,-)C) by
(Name of person acknowledging) (Name of person acknowledging)
(Sign r of NotarV Public- State of Florida) -N"
e df Notafy
Personally Known OR Produced Identification J Personally Known _
Type of Identification Produced_ Type of Identification
j *ar a�a Zug Ley,
Commission N 'Z (Wylbommissicsn Commission No.
February 20, 2021
Revised 07/15/2014
Public- State of Florida)
OR Produced Jdenfi�atio
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS