HomeMy WebLinkAboutPermit Application Form Emanuel Miraglilo 5013 El Nueva Ft PierceAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/5/2020 Permit Number:
IM
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Emanuel D Mirglilo
PROPOSED IMPROVEMENT LOCATION:
Address: 5013 EL Nueva, Fort Pierce, FL
Property Tax ID #: 1431-703-0062-000-7
Site Plan Name: Harmony Heights Addn (OR 2153-2322; 3584-1809)
Project Name:
Residential X
Lot No. 20,21,22
Block No. C
DETAILED DESCRIPTION OF WORK.: 1
We will be removing a shingle layer from the roof down to the plywood. We will be installing new synthetic underlayment
(REX Synfelt). This residence will be Shingle to Metal Roof System. The metal we will be using is 5V Crimp 26 Ga.
Underlayment: AlphaProTech REX Synfelt (12512.1) Metal: Atlantic Metals II of Vero Beach: 5V Crimp (17796.6)
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 e Windows/Doors Pond
_ Electric _ Plumbing — Sprinklers _ Generator – Roof 3112 Pitch
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 10,245
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height: 10 ft
OWNER/LESSEE.
CONTRACTOR:
Name Derrick Miraglilo
Address:5013 EL Nueva
City: Fort Pierce State: h
Zip Code: 34946 Fax: NA
Phone No. 772-501-1309
E-Mail:derrickm@beachsiderehab.com
Name: Luke McConnell
Company: Modtek Roofing Inc.
Address: 1360 Old Dixie Hwy SW Ste 103
City: Vero Beach State: FL
Zip Code: 32962 Fax: NA
Phone No 772-213-8437
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail need roof@modtekinc.com
State or County License CCC 1326977
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: XX Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X 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 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, 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 Your Notice of Commencement.
Signature 6T41wrfeJrYessee/Contractor as Agent for Owner I Signature oVX_orrfarYor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1k� a.,. i VKN COUNTY OF �' Cd t�i V
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this eBay of ��� bear , 2020 by
Name of person making statement.
Personally Known �V-' OR Produced Identification
Type of Identification
Produced ,>-tAr5o-" ft � ftt)W ►'\
(SiRnatU Notary Public- State o Florida
=* *® ELIZABETH
ic-Stat ftcoNida
mo aaon # GG 977877
11
REVIEWS
COUNTER I REVIEW I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
V' -Ph y *cal Presence or Online Notarization
this day of Ocjo 6j— 2020 by
Name of person making statement.
Personally Known OR Produced Identification _
Type of Identification
Produced R so )A-& I< t KnocyrN
(Signature of - ,
ELIZABE H HOGAN
Commission No. :�`'"YA ��2 Notary Fublic5St88E<)of Florida
=•^= Commission # GG 977877
,;701,74W My Commission Expires
PLANS
REVIEW I V
REVIEW I REVIEW I REVIEW