HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
( O
"W Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: reroof 1
PROPOSED IMPROVEMENT LOCATION:
Address: 4409 Garner Ct, Ft Pierce
Property Tax ID#: 2407-121-0027-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Almo-4409 Garner Ct
DETAILED DESCRIPTION OF WORK:
Remove existing roof material to deck, renail to code. Install self-adhered base sheet, self-adhered cap sheet.
New Electrical Meter Second Electrical Meter
ILCONSTRUCTION INFORMATION:
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 V Roof Pitch
Total Sq. Ft of Construction: 1400 Sq. Ft. of First Floor:
Cost of Construction: $ 9500 Utilities: —Sewer _Septic Building Height: 10,
OWNER/LESSEE: CONTRACTOR:
Name VIP Home Management Inc. Name:Douglas E. Roe
Address: 1172 SW Alcantarra Blvd Company:Code Red Roofers, Inc
City: PSL State: 1�� Address:3341 SE Slater St
Zip Code: 34953 Fax: City: Stuart State:FL
Phone No.772-530-0604 Zip Code: 34997 Fax:
E-Mail: Phone No 772-287-2829
Fill in fee simple Title Holder on next page ( if different E-Mail Permits@coderedroofers.com
from the Owner listed above) State or County License CCC1326574
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLOR�DA n n STATE OF FLORIDA
COUNTY OF �n.4- ,(J COUNTY OF A,,- JI /JJ
Sworn to(or affirmed) and subscribed before me of Sworn to(or affirmed) and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this_J__day of CX: a(ag fL 12020 by t is__J_day of b(�Q _, 2020 by
Name of person making statement. Name of person making statement.
Personally Known�OR Produced Identification Personally Known�—OR Produced Identification
Type of Identification Type of Identification
Produced Produced
( vurof No ry Public-Sr5"10��
KEGAN CRAWFORD ignatur of Notar u I' -State of Florida)
SIN MISSION#GG2650>5
Commission ��y" K Pc L _S.oc,,nt�03.2022 C m fission No. �� FW
D5-S22REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20