HomeMy WebLinkAboutJeffrey Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/11/2020
T. Lt.iC1E .
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Roof Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 8502 Virburnum Ct
Property Tax ID #: 3425-703-0086-000-8
Site Plan Name: Savannah Club Plat 3
Project Name: Jeffrey Residence
DETAILED DESCRIPTION OF WORK:
Residential X
Lot No.2
Block No. 23
Remove existing roofing down to wood deck. Inspect/Repair/Renail Wood deck. Install self -adhered modified roofing
underlayment. Install new shingles.
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 �4 Roof 2/12 Pitch
Total Sq. Ft of Construction: 2200
Cost of Construction: $ 9,865
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Myrna Jeffrey
Address:8502 Virburnum Ct
City: Pori: St Lucie State: i; L
Zip Code: 34952 Fax:
Phone No.7728347502
Name:Andrew Keys
Company:Andrew Thomas Contracting LLC
Address:1055 Holbrook Cir #5
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone N0772.626.1250
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail andrewthomascontracting@gmail.com
State or County License CCC 133 1638
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 Co encement.
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Sign ure of Own Les / ntractor atjrg—en—t for Owner
Signature of C ntractor/License Hol er
STATE OF FLORIDA
COUNTY OF �s�r e_
STATE OF FLORIDq
COUNTY OF 4 A 1A
Swor (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 93 dayofAfc�v� e2020 by
Sw rn to (or affirmed) and subscribed before me of
Physical Preece or Online Notarization
2020 by
the dayof�,
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Name of person making stat ent.
,Name- of person making statement.
Personally Known OR Produced Identification ✓
Personally Known OR Produced Identification
Type of Identi cation
Produced f,
Type of Ide tifit io _
Produced
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