HomeMy WebLinkAboutapplication melinda kneerAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: NOV 20 2020 Permit Number:
9 T. LSI (CUE I
O,
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:New Shingle To Shingle Re -Roof I
Address: 7602 Arthurs Rd
Property Tax ID #: 1301-602-0075-0001 Lot No.5
Site Plan Name: LAKEWOOD PARK -UNIT 2- BLK 14 LOT5 (MAP 13/11S) (OR 556-190) Block No. 14
Project Name:
Remove Existing Shingle Roof & Replace With New Shingles And Two Skylights
New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric — Plumbing
Total Sq. Ft of Construction: 2,100
Cost of Construction: $ 9,000
_Sprinklers _Generator
— Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof 4 In 12 Pitch
Utilities: —Sewer _ Septic Building Height: 12
NameScott A KneerMelinda D Kneer
Name: Rene Reyes
Company: MY FLORIDA ROOFING CONTRACTOR
Address:7602 Arthurs Rd
City: Fort Pierce, FI
State: _
Address:1140 17th Place
Zip Code: Fax:
City: Vero Beach State: FL
Phone No.34951
Zip Code: 32960 Fax:
Phone N0772-453-7219
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail info@reyesgroupgc.com
from the Owner listed above]
State or County License CCC1325646
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.
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
impr vements to your property. A Notice of Commencement must be recorded in the public records of St.
,L cie,,Co my and posed the jobsite before the first inspection. If you intend to obtain financing, consult
wlthAe er or an a nev efore commencing work or re In vour Notice -of -Commencement.
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Signa a of dwf ner/ Lessee rontrac s Agent for Owner
Sign ntractor/Li e H der
STATE OF FLORIDA
STAT OF FLORIDA
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COON , OF
COU TY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
K Physical Presence or Online Notarization
this D40 day of K*4* s_'---r:: 2020 by
this 20 day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known \,—/^ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- Stat
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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