HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numbe.r.�
91ro LLICDE SE j J 2020
o �
e'n•''`Buildin Permit Applica io
Planning and Development Services ------ -_ _ y '$_ -
Building and Code Regulation Division Commercial Resid211tial'X'a'
2300 Virginia Avenue,Fort Pierce FL 34982 4
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:JAMES B. AND SYLVIA OPbE.N-BO.RN
PROPOSEDIMPROUEM,ENT LOCATION
Address: 309 ROSEWOOD DRIVE, FORT PIERCE 34947
Property Tax ID#: 2407-801-0049-000-9 Lot No.20
Site Plan Name: Block No. D
Project Name:
xDETAILED=DESC111FTIQN07
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Replace old shingle roof with new metal roof. hn e*
i
New Electrical Meter Second Electrical Meter
CONSTRUCTION I=NFOR{MATION
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof 512 Pitch
Total Sq. Ft of Construction: 2,742 Sq. Ft. of First Floor: 1,641
Cost of Construction:$ 12,500 Utilities: —Sewer _Septic Building Height:
0�1INER/LESSEEz �s �' CONTRACTORS
NameJames B. Oppenborn Name:Tim Mehaffey
Address:309 Rosewood Dr. Company:Roof It Better, LLC
City: Fort Pierce State:_ Address:516 S. Dixie Hig y Suite 207
Zip Code: 34947 Fax: City: West Palm Be State:FL
Phone No.(772)801-4593 Zip Code: 3340 Fax: 772-398-7111
E-Mail:oppenborn@comcast.net Phone N07,72-398-7600
Fill in fee simple Title Holder on next page(if different E-M - im@roofitbetter.com
from the Owner listed above) ate or County LicenseCCC1330446
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.
S;UPP;LEMENTAL'CONSTRUCTION LIEN LAW INFORMATION
�. P M.�. -
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: _Not Applicable BONDING COMPANY: x Not Applicable
Name:SAMEASABOVE 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 thepermit 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,1 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 beforg&ommencing work or recording our Notice of Commencement.
S' ature of Owner/Le ee ntractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLOR STATE OF FLORIDA
COUNTY OF S �, COUNTY OF
Sword 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,JC^i day of n , 2020 by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known r/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-StateffMYCOMMISSfOrt# Igii'et a of Notary Public-State of Florida)
�� 3EXPIRES:May 20 Commission No. 3 7andedltwNokryPublic n No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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