HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
r oN. I OF
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE -ROOF
P,ROPC�SED 1MPRO�/i=MENT ,�OCAT�N �_
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 5900
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
x Roof 5/12 Pitch
Cost of Construction: $ 23,725.00 Utilities: —Sewer _ Septic Building Height: 1lft
Name Mark T Richmond
Address:5505 Echo Pines Cir E
City: Fort Fierce FL State:
Zip Code: 34951 Fax:
Phone No. 772-410-9116
E-M ail: Accounting@themetalroofexperts.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name:Dulce B. Lara
Company: Total Roofing Systems "The Metal Roof Experts"
Address:3140 SE Waaler St
City: Stuart State: FL
Zip Code: 34997 Fax: 7728728033
Phone N0772-410-9116
E-Mail Accounting@themetairoofexperts.net
State or County License CCC1 332346
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.
DESIGNER/ENGINEER, Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
_
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _
Name:
Not Applicable
' BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
j 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 Your Notice of Commencerrfent.
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Signature of Owner/ Lessee/Contractor as Agent for Owner r � --of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY QF (-Low 1 � COUNTY OF it Q ✓ � i l
Sworn to (or affirmed) and subscribed before me of Swarrrlo (or affirmed) and subscribed before me of
—� Phpcal Presence or Online Notarization i ✓Phat Presence or Online Notarization
this I day of ,?�2020 by 1 this 1 day of �`:` +7%%""��✓� 2020 by
Name of person making statement. Name of person making statement
Personally Known ` OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Idntif✓ication { Type of Identification
Produced' ^> Produced
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(S/igr(atur/� of Notary Public- State of Florida) (Signature of NofSry Public- State ofAorida j
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Commission No. ,r`;t /T j q 73 ,i' (Seal) Commission No. (.rG: f ? z ^' (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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