HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Nunber:
CD �
ti
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 349B2
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Ms. Judith Winston
PROPOSED IMPROVEMENT LOCATION:
Address: 2422 Atlantic Beach Boulevard, Fort Pierce, FL 34949
Property Tax ID #: 1436-601-0027-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Winston Residence
DETAILED DESCRIPTION OF WORK:
Remove existing low -slope roofing, renail plywood deck with 8d ing shank nails, install two-ply modified
bitumen roof system.
New Electrical Meter Second Electrical Meter
FNSTRUCTION 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 X Roof Pitch
Total Sq. Ft of Construction: 1,904 Sq. Ft. of Fln.t Floor:
Cost of Construction: $ 12,000.00 Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Judith Winston
Name: Christo her A. Lon
Company: The Roof Authority, Inc.
Address: 2422 Atlantic Beach Boulevard
city: Fort Pierce State: FL
Address:6771 North Old Dixie Highway
Zip Code: 34949 Fax:
City: Fort Pierce State: FL
Phone No. (772) 332-6412
Zip Code: 34946 Fax: (772) 468-2247
Phone No (772) 468-7870
E-Mail tra1993 _gmail.com
E-Mail: JudithWinston mail.com
FIII in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CC C056933
If value of construction Is 2500 or more, a RECORDED Notice of commencemeri is requi-ea.
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: _ Not Applicable
Name:
BONDING [OMPANY: Not Applicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: PI one:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit t) 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 permitwlll authorize :he perrr It holder to build the subject structure
which Is in confllct with any applicable Home Owners Association rules, bylaws cr and covenants that may, restrict or prohibit su _h
structure. Please consult with your Nome Owners Association and review your daed 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 con--urrency 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 yo j intend to obtain financing, corsult
with lender or an attorne before commencing work or recording your - Notice of Commencement,
Sign
STATE OF FLORI A STAI
COUNTY OF Lu[ COU
w9n to (or affirmed) and subscribed before me of
Plslcal Presence or Online Notarization
this J day of 2020 by
J 0, will Jr —
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced t]r iki n w L_: t t, l
Timothy W. Sutton
(Signature of Notary Public �Flla�f;
a '+STATE OF FLORIDA
Commission No. "? CdGG185962
SINCE 191 Expires 3/2012022
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
eITO—
/License Holder
1F_RIPAI LV1Gi -P
Sworn to (or affirmed; and subscribed before me of
Ph slcal PresenC2 or Online Notarization
this _12�ay of , 2020 by
C�\riS�A�A``1 Lo'!x
Name of person making statement.
Personally Known J OR Prod ufIMAOfigt�efl
Type of Identification ►RYR
Produced OF
PUBLIC
v OF FLORIDA
al) i ' Comm# GG 185982
(Signature of Notajy Publlc='Stbte of 1'ISPfda
Commission No, G�— (Seal)
SUPERVISOR PLANS V=GETATION SEATURTLE MANGR04E
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