HomeMy WebLinkAbout4003 ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/05/2020 Permit Number: 2009-0297
91r. ILUM
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: 4003 Ave R
Address: 4003 Ave R, Fort Pierce, FL 34947
Property Tax ID #: 240560101660005
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
X
Lot No.4 and 5
Block No. 9
remove and replace the existing roof system. install 5V crimp metal to the picthed section and a rubberized system
to the flat section.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing
Total Sq. Ft of Construction: 2588/306
Cost of Construction: $ 15,600.00
_ Sprinklers
Generator X Roof 3/12
Sq. Ft. of First Floor: 2588/306
Utilities: —Sewer —Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Dominique Pierre
Name: Lloyd Constant
Address: 3376 Hatcher St
Company:Andros Construction LLC
City: Fort Pierce State: FL
Zip Code: 34981 Fax:
Phone No. 772-924-4520
Address:2706 Atlantic Ave
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No 772-475-4915
E-Mail:kanjmm25@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailandrosconstruction@gmail.com
State or County License CCC1 327225
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: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 attornev before commencing work or recording your Notice of Commencement.
Signat,�Ve grO*ner/ LesseeYe6ntracto/ as Agent for Owner Signat6re PT Clbntractor/Lict'(ise
STATE OF FLORIDA // STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OFSt/ L.Ge
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization _ X Physical Presence or Online Notarization
this stn day of October 2020 by this stn day of October 2020 by
Lloyd Constant Lloyd Constant
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Prod u ed
(Signature"N ar P Ii. :�t� of Flo
Notary Public -State of Florid
GG9783 '= Comm ss�l1�ppn M GG 978378
Commission No. �: My w9gission Expires
�or Aord 14. 2024
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known )— OR Produced Identification
Type of Identification
Produced n
Y J
(Signature of ry Public t ,FIrida HLEY DEAN
'r, otar Public -State of F
Cgrpmi,�sion N GG 97E
Commission No. cc97837e mission Expi
April 14, 2024
SUPERVISOR PLANS VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW