HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 132 N Naranja Ave, PSL
Property Tax ID#: 3419-530-0253-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Hickey- 132 NE Naranja Ave
i
DETAILED DESCRIPTION OF WORK: —
Remove existing roof material to deck, renail to code. Install 301b underlayment, architectural shingles.
New Electrical Meter Second Electrical Meter
C CONSTRUCTION INFORMATION: a
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors i Pond
` Electric — Plumbing _Sprinklers _Generator �!Roof Pitch
Total Sq. Ft of Construction: 5i Sq. Ft. of First Floor:
Cost of Construction: $ 14800 Utilities: —Sewer _Septic Building Height: 10'
OWNERjLESSEE: � » CONTRACTOR:
Name Robert A Hickey Jr Name:Douglas E. Roe
Address: 1031 SW California Blvd Company:Code Red Roofers, Inc
City: Port St Lucie State:r((— Address:3341 SE Slater St
Zip Code: 34953 Fax: City: Stuart State:FL
Phone No. 772-475-7033 Zip Code: 34997 Fax:
E-Mail: Phone No 772-287-2829
Fill in fee simple Title Holder on next page (if different E-Mail Permits@coderedroofers.com
from the Owner listed above) State or County License CCC1326574
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 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: 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 attorney before commencin work or recor ing your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF k'Vt Zirfiivi OUNTY OF YV OYi i✓A
Sworn to(or affirmed) and subscribed before me of wo to(or affirmed) and subscribed before me of
✓ Pysical Presence or Online Notarization ✓ Physical Presence or Online Notarization
this day of Oc-lube f— , 2020 by his__L day of QC+0>e� 12020 by
Name of person making statement. Name of p rsoe n making statement.
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced roduced
(Si e of Notary Public- natur otary Public-Sta
�.V ft4.. Notary Public State of Fiono �Vr°4r Notary Public State of Flon a
Commission No.hCzl33`133 (�on Smith ICo mission No.C�zli�lj3 (cWgpon Smrth
p• y mmission GG 137433 My Commission GG 13743
a,d- Expires 0 812 3/2 02 1 JI/ Exp'res 08/23/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
DATE
COMPLETED
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