HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-10-2020 Permit Number:
LUI
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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: 530 European LN FORT PIERCE 34982
Property Tax ID#: 3410-503-0210-000-7 Lot No.21
Site Plan Name: Block No. G
Project Name:
[DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLE ROOF,
INSTALL PEEL& STICK UNDERLAYMENT FL16048
INSTALL SHINGLES FL10674
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _ Generator Roof Z Pitch
Total Sq. Ft of Construction: 2,060 Sq. Ft. of First Floor: 2,060
Cost of Construction: $ 10,000 Utilities: —Sewer —Septic Building Height: 8 FT
OWNER/LESSEE: CONTRACTOR:
Name Jon Cummings Name:ROLAND WILEY
Address:530 EUROPEAN LANE Company:SHORELINE ROOFING
City: FT PIERCE State:_ Address: 1973 SW GLENDALE STREET
Zip Code: 34982 Fax: City: PORT ST LUCIE State: FL
Phone No.772-342-2625 Zip Code: 34987 Fax:
E-Mail: Phone No 772-260-9565
Fill in fee simple Title Holder on next page(if different E-Mail SHORELINEROOFING @YAHOO.COM
from the Owner listed above) State or County License CCC1331170
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: _ Not Applicable BONDING COMPANY: /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 commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/C tractor as Agent for Owner Signature of Contractor/LicensieJiolder
STATE OF FLORIDA l �Y1 STATE OF FLOR J — _
COUNTY OF �1' aft ',�,, COUNTY OF a j� r�
Swor to(or affirmed)and subscribed before me of Swo,Kto(or affirmed)and subscribed before me of
Physical Presence or Online Notari V' Ph sical Presence or Online Notari
this day of f U ,20 120 b ff M this ay of 2020 by Lu o
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Name of person making statement. 20 I�D Q a Name of person makin tatementtcfl
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Personally Known OR Produced Iden ��teo -o Personally Known OR Produced Identi igrt- >
Type of Identification z E Type of Identification Q a o
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(Signature of No a Public-State of Florida ) ;6Q`"bobo i (Signature of tary Public-State of Florida ) =&
Commission No. 1 02 p C1(Sea Commission No.(7 T02�� (Sea
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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