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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `� •� • a�G Permit NumbeKi& giro duay. �,� o�I� .©l�l�►-� p RECEIVED p �= Building Permit Application OCT 2 7 1010 Planning and Development Services Permitting D6p3i,rr�lQfiit Building and Code Regulation Division Commercial Residential sr.Lu+Q COMY 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR:Residential RE-Roof PWORMS-' D IUI12R,WiUEM ENl' LOCAliI.®N Address: 8418 Belfry Place Property Tax ID#: 3327-701-0018-000-4 Lot No.15 Site Plan Name: POD 28 AT THE RESERVE Block No. Project Name: George Townley - �DE•�TAI'LED DE�-SCRI�PTI`®N OF W®RK: Replace Tile roof and related accessories. New Electrical Meter Second Electrical Meter - Additional work to be performed under this permit—check all that apply: —Mechanical —Gas Tank —Gas Piping —Shutters —Windows/Doors —Pond — g — p —Generator Y R Electric Plumbing Sprinklers Gtoof 5/12 Pitch — — Total Sq. Ft of Construction: 2844 Sq. Ft. of First Floor: Cost of Construction: $ 28,985 Utilities: —Sewer —Septic Building Height: ! [�,35" ,w S a s x Zci4 �"�:.its, r, s � k s Ja ,� .�w-+s°•Ka �e��.: �� - Fps SOWNER%LESSEEt ' � , k: ° -,`{ v ,� = COIVTRA�CT�OR ` ,, A _ � .. :a�S"_ai.Eis Sds[.Y. .t ..�i,.av ,.tom k°w�� .�* �n'; kk-';�e:"�_. 4P;,.o "„S.ai.f_. .r �;'k.'aa"$tid.. : " '•_kk,a_ NameGeorge Townley Name:Philip Coutu Address:8418 Belfry Place Company:Rooftop Roofing, Inc city: Port St Lucie State:— Address:108 Escalona Ave Zip Code: 34986 Fax: City: Pensecola State:FL. Phone No.206-484-8757 Zip Code: 32503 Fax: E-Mail: Phone No720-526-3730 Fill in fee simple Title Holder on next page(if different E-Mailoperations@rooftopinfo.com from the Owner listed above) State or County License CCC1 326630 Le of construction is 2500 or more,a RECORDED Notice of Commencement is required. e of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. i SUPPLEMENTAL CONSTRUCTION LIEN LAW INF©'RMATION: DESIGNER/ENGINEER: N/A Not Applicable MORTGAGE COMPANY: NA Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: NA Not Applicable BONDING COMPANY: NA 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 Signat a ontractWkicense Holder STATE OF FLORIDA STATE OFk Co i o r-ct�1� COUNTYOF COUNTYOF Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this day of ,2020 by t is day of .2020 by Pw, 1 c►n C ov�-U 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 Produ ed (Signature of Notary Public-State of Florida) (Signature of Notary Public- a ant a Goodrich Commission No. (Seal) Commission No. o_Q o0 1 (4 ($lll<MY PUBLIC STATE OF COLORADO MY COMMISSIOPI EXPIRES 03/27/2 4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURT COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.