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AIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 1A12212020 Permit Number:
Building Permit Application
Planning and Development Seruices
Building ond Code Regulation Division
B0A Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-L553 Fax: (7721 462-1578
Commercial Residential x
PERMlrAPPLlcArloN FoR: RE ROOF
PROPOSED I MPROVEMENT LOCATION:
Address . 646 SENEGAL CT FT PIERCE 34982
Property Tax lD #;3410-503-0089-000-9 Lot No.21
Site Plan Name:Block No. C
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove shingles, lnstall Shingle FL1A674
Peel & Stick Underlayment FL16048
New Electrical Meter Second Electrical Meter
CONSTRUCTI ON I NFORMATION :
Additional work to be performed under this permit - check all that apply:
_Mecha nica I
Electric
_ Gas Tank
_ Plumbing
_ Gas Piping _ Shutters * WindowslDoors Pond
Pitch_ Sprinklers Generator X Roof 6t12
Total Sq. Ft of Construction' 2449
*
Sq. Ft.of First Floor: 244A
Cost of Construction: 5 10,500 Utilities: Sewer Septic Building Height:8Ft
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $Z,S0O or more, a RECORDED Notice of Commencement is required.
owNER/LESSEE:CONTRACTOR:
NameVlRGlNlA KEENAN
Address.646 SENEGAL CT
City: FT PIERCE State:
ZiP Code ' 34982 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name.ROLAND WILEY
Company; SHORELINE ROOFING
Address.1973 SW GLENDALE STREET
City: PORT ST LUCIE state'F!,
ZiPCode' 34987 Fax
phone Ns772-260-9565
E-Ma ; 1 SHORELI N E ROOFI NG@YAHOO.COM
State or County License CCC1331 1I0
SUppLEMENTAL CONSTRUCTpN LrEN LAW TNFORMATTON:,/
oTSGNER/ENGINEERT "/ Not Applicable
Name:
Address:
City
zip:
State: _
Phone
MORTGAGE COMPANYT ,{Not Applicable
Name:
Address:
City:State: _
zip:Phone
FEE SIMPLE TITLE HOLDER: Z_Not Applicable
Name:
Address:
City:
zip Phone:
BONDING COMPANY: *z*flot Applicable
Name:
Address:
City:
7ip: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 subiect structure
which is in conflict with any dpplicable Home Owiers AsSociation rules, bvlaws or and covenants that mav restrict 6r orohibit suchstructure. Please consult w'ith four Home Owners Association and review'your deed for any restrictions uihich may apply.
ln 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 undergolng a full concurrency review: room additions,
accessory structuret swimming pools, fences, wallt 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. lf you intend to obtain financing, consult
with lender or an attornev before commencing work or recordinq vour Notice of Commencement.
Signature of Ownei/ Lessee/ntractor as Agent for Owner
Sw n to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Name of person making sflement.
Personally Known {_oR Produ
Type of Identification
Produced
(Signature of ftolary Public- State of
Commission *".
\
Signature of Contractorllice Holder
STATE OF FLORID
COUNTY OF
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1.^111: i: il_j#hvri.d Prgfeqp€1 or' * O nli ne N ota rization
trr(Od/ld5/of \-(5: , .zak
Name of person makinfatement:
'nr.^,* -/ AFr Fr-^:Personally Known ,n , .,,. OR Produced I
Type of ldentification I
Produced
(Signature of N Public- State of Flor
Comrnission *o.
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REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIE\IY
MANGROVE
REVIEW
DATE
COMPLETED
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