HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ^^ Permit Number:
�1 LLGGL'-. ,-
Building Permit Application
Planning and Development Services
Suifding and Code Regulation Division Commercial Residential x
2300 VirgfniaAm0ue,Fanpieme FL 34982
Phone(772)462-I553 fax:(77Z)462-IS78
PERMIT APPLICATIONFOR:Re-Roof
PROPOSED IMPROVEMENT LOCATjON_:58_07Palm Drive Fort Pierce, FL 34982
Address:5807 Palm Or Fort Pierce,FL 34982
Property Tax lD g:340260903530001 Lot No.35
Site Plan Name: _ Black No.61
Project Name: Aubert 5807 Palm Drive
rDETAILED DESCRIPTION OF WORK
_
removing exrsflhg ShingV repfaang wfth shingles
NOA Product Approval -Shingle: 20-0527.05 & Underlayment: 18-0409.06
Roof Pkh:5112 Total SQFT:3200
New Electrical Meter Second EfecaicaI Meter__
F CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check aff that apply:
_Mechanical _Gas Tank ,_Gas Piping _Shatters —Windows/Doom `Pond
—Electric _Plumbing _Sprinklers --Generator _Roof
Total Sq.Ft of Construction:3800 Sq.Ft,of First Floor:
Cost ofConstructionn$21,200.00 Utilities: _Sewer _septic Building Height:
OWNER/LESSEE: I CONTRACTOR!
Donald Suchard
I NameMathew AubaR .,_ _ Name:_
Address:5807 Palm Drive _.-, Company,RoofClaim.com
City:Fort Pierce State: FL Address-IE90 Roberts Blvd.S%e 112
Zip Code:34982 Fax:_ _ City:Kennesaw State:
_ GA
...-._.. _
Phone No.772-361-3645 _ —__ -Zip Code:30144 Fax: ...
E-Mail:matthewaubert695@ictoud.cwm !� PhoneN0407-278-7788
Fill in fee simple Title Holder on next page(If different E-Mall PBrmlt@RoofClaim.com
1 from the owner listed above) 5tateor County LfcenseC=332081
i
If value of cons[roctlan is 2500 or more,a RECOROED Notice of Commencement is required.
if v,foe of HAVC is 67,500 0r more,a RECORDED Notice of Commencement is required.
SUPPLEM ENTAIL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER(ENGWEER: x Not Applicable MORiGAGECOMPANY; x Not Applicable
Name' '.� Name:
Address: Address:
City: State: i City: „State:`
Zip: . Phone,_ _ � '1 Zip: _, Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable ;:BONDING COMPANY: ___Not Applicable I
j Name: j Name 1
I Address: (Address: i
City: ...,_ I City:
+Zip: Phone: Zip:— Phone:
NT R A FID
OWNER/CORACTOFVIT:Appti is h catton ere_by made to Obtain a permit to de the work and installation as indicated.
1 certify that no work or installation has oornmenced prior to the issuance of a permit.
St.Lucie County makes norepresenlation that is granting a permit will authorize the emit holder to build the subject structure
which is in conflict with any applicable Home Owners.RssoGGation rules,bylaws orancpv¢nants that may reslriR orprohibrtsuch
structure please consult wuh your Home Owners eP eclatton and reviewyour deed for any restrictions which may aPPtY,
In consideration of the granting of this requested permit,I do hereby agree that I will,in all inspects,perform the work
fn accordance with the approved plans,the Florida Building Lodes and St,Lucie County Amendments.
The following bu'ddlne permit applications are exempt from undergoing a full conwminxq review:room additions,
accessary structures,s Amming pacts,fences,wells,signs,screen rooms and accessary uses to another norvresidemiai 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 jobsitebefore the first inspection.If you Intend to obtain financing,consult
with lerwer of an attamey before Pro In we ar recording Your Notice of Comm ment.
i
1 5ignatare of Owner/Lessee/Contractor as Agent ar Own¢r Sign ConirosYor/License Holder
STATE OF FLORIDA—, I STATE OF FLORIDA
COUNTY OE %J" _.,.:.L.r_ ., (COUNTY OF_r)' UVW�
$we to(oraffimned)and subscribed before me of `Sw rn to(or affirmed)and subscribed before me of
✓ Ph ical Pmsen a or Online Notarization I 7- Physical Presence or Online Notarization I
this r"day of 1J.p 2020 by i this=,l_day of^4�A41�9 /W 2020 by
h!ta7TH�w Xl-u"gev
o . Name of Person making statement, f Name of person making statement.
o+r e
ce p'$ I Personally Known ProducedsdentiRcation Personalty Known L1__.OR Produced Identification
Type of Idemificatiori, 'Type of IdentSEcatibn
m o_ Produced Produced`.
C SEY R ELLIS
lor1,.G�.E i "U.--
�� E � (Signa re yY Notary Neiic-spate of Florida I 1Sgnature of Cary Publitr State ofHoride P ission I Notary Public
n. _n 1 Com fission#HH 49915
r c u I Commission No. 9fG�(5 (Seat Commission No. •r NG/�.S My Comri i ion Expires Sept.03,2022
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-a� REVIEWS FRONT ZONING SUPERVISOR FLANS VEGE7ATIOR SEA TURTLE MANGROVE
1 5y COUNTER REVIEW REVIEW �REV(EW REVIEW REVIEW REVIEW
I! DATE
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RECEIVED
+ DATE .._._
COMPLETED