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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -7-0 Permit Number: IV ©l OISJ.0 uo' �ll� RECEIVED O Building Permit Application OCT'2 7 2020 Planning and Development Services Permitting Department Building and Code Regulation Division Commercial Residential St, Lucie County 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: Residential Re-Roof .P.ROPOSED"IMPROVEMENT LOCATION: ' r. Address: 7612 Greenbrier CIR Property Tax ID#: 3322-700-0073- 000-9 Lot No.68 Site Plan Name: POD 19 PUD II GREENBRIER (PB 41-5) Block No. Project Name: Kenneth J Brown DETAILED;DESCRIPTION OF WORK: } Replace tile roof and related accessories 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 6/12 Pitch Total Sq. Ft of Construction: 4013 Sq. Ft. of First Floor: Cost of Construction:$ 39,995 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE': CONTRACTOR: Name Kenneth J Brown Name:Philip Coutu Address:7612 Greenbrier CIR Company:Rooftop Roofing, Inc. City: Port St Lucie State:_ Address:108 Escolona Ave Zip Code: 34986 Fax: City: Pensacola State:FL Phone No.609-6028977 Zip Code: 32503 Fax: E-Mail: Phone No 710 — Fill in fee simple Title Holder on next page(if different E-Mail operations@rooftopinfo.com from the Owner listed above) State or County License CCC1326630 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 INiFORMATION: DESIGNER/ENGINEER: N/A Not Applicable MORTGAGE COMPANY: n/a Not Applicable _ Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: N/A Not Applicable BONDING COMPANY: N/A 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/Contractor as Agent for Owner Sig- t re of ontractor/License Holder STATE OF FLORIDA STATE OF FWRWA C-01or•o-0—o COUNTY OF COUNTY OF On Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization PIOPhysical Presence or Online Notarization this day of .2020 by this ad day of 0 C,�G\c; ; .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 Pro uced (Signature of Notary Public-State of Florida) (Signature of Notary P - e ofa Sam oo rich Commission No. (Seal) Commission No..Qo COVA S NOTARY§B10k) STATE OF COL.ORADO NOTARY ID# M COMMISSION EXPIRE 03/27/2Q24 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.5/6/20