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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/20/20 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Metal Re-Roof
Address: 2430 Sweetwater Drive, Fort Pierce, FL 34981
Property Tax ID#: 2433-601-0004-000-9 Lot No. 2
Site Plan Name: Block No.
Project Name: Azbell
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MAIN HOUSE-Remove existing roofing material, repair and renail decking,install synthetic underlayment,install Premier Gulf
Coast Gulf Rib metal roofing system.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing r_1 Sprinklers _Generator `Roof 4 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $�20,570.001 g�j(' Utilities: _Sewer _Septic Building Height:
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Name Wendy&Michael Azbell Name:Troy Glowth
Address: 2430 Sweetwater Drive Company:Advanced Metal Roofing, Inc.D/B/A Brilliant Roofing
City: Fort Pierce State: Address: 4149 SE Salerno Road
Zip Code: 34981 I Fax: City: Stuart State:FL'
561-402-9766 34997 N/A
Phone No. � Zip Code: Fax:
E-Mail: N/A Phone No 772-678-6654
Fill in fee simple Title Holder on next page(if different E-Mail Mail@brilliantroofing.com
from the Owner listed above) State or County License CCC1327906
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.
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SllPPL`E,MENTAL C`O,I STRUCTIU11 LIT:
DESIGNER/ENGINEER: xxx Not Applicable MORTGAGE COMPANY: xxx Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: xxx Not Applicable BONDING COMPANY: xxx Not Applicablle
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. j
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.
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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 our Notice of Commencement.
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Signature of Owner/L see/Contractor as Agent for Owner Signature of C tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
xx Physical Presence or Online Notarization xx Physical Presence or Online Notarization
this 2Qth day of October 2020 by this 20th day of October 2020 by
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Troy Glowth Troy Glowth
Name of person making statement. Name of person making statement.
Personally Known xxx OR Produced Identification Personally Known xxx OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature f otary Public-State of Florida) (Signatur f Notary Pub c- tata,p t�( EANETTELAWRENCE
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"'sv'o;• FGA EANETTELAWRENCE ' . "; NotaryPublic-StateofFldrida
Commission No. GGos7an a" 9�; C a� GGa97477` Co� 5a¢� GG097477
!'r blic-State of Florida Commission No.
,? My Comm.Expires Apr24,2021
•, Commission 0 GG 097477 ?,F r.r�'
M Comm.Expires Apr24,2021 Bcrded through National Notar)Asvn.
Bordedthr ugh National Notary Assn. -
REVIEWS FRONT PLANS VEGETATION SEA TURTLE MANGIROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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