HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a d Permit Number:
RECEIVED
NOV ® 5 2020
Building Permit Application Permitting Department
Planning and Development Services St. Lucie County
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:RE_Roof Metal
PROPOSED'IMPROVEMENT LOCATION -
Address: 5503 Buchanan Dr, Fort Pierce, FL 34982
Property Tax ID#: 3402-602-0203-000-4 Lot No.11 + 12
Site Plan Name: Block No. 6
Project Name:
DETAILED DESCRIPTION'OF WORK:
Tear off exsiting roof and install new 5V Metal. remove Cat �c.l� C,o�re,ri n�, cwh� n Si11
1�o-Se a,
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 4/12 Pitch
Total Sq. Ft of Construction: 2100 Sq. Ft. of First Floor:
Cost of Construction: $ 10,000.00 Utilities: —Sewer _Septic Building Height: 1 story
OWNER/LESSEE: CONTRACTOR:.
Name M O'JE V�crg LL L Name:_,l/���,rT t CXA S,r5�� w -e
Address: ( i c5of/a411 PL yc Company: Snm rise Fq Po Lv��City: Poll- Sk Ll c (7 Stater Address: 91 !S/ 5 C, mA', �0[✓+� �rj
Zip Code: S2 Fax: City:(Nr+ 5k C.rx, e" State:4L
Phone No. Zip Code: :C4`l S,?, Fax:
E-Mail: Phone No �7�' SO/ 70 3
Fill in fee simple Title Holder on next page (if different E-Mail
from the Owner listed above) State or County License Ge L ) 3 3 1 rZO
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.
x
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.
Signs ure of Owner/Lessee/Contractor as Agent for Owner g ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF _-5} - Lu 2
Sworn to(or affirmed)and subscribed before me of Sw�to(or affirmed)and subscribed before me of
Physical Pres ncee,,or Online Notarization Physical Presence or Online Notarization
this S day of dJ 2020 by this I12�day of 2020 by
R d 0 n n \L��z_A r,,Jrrn,n VC;
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Ident cation Type of Identification
Produced L. 1, Produced
(Signature of Notar ublic- ate of Florida ) i ature of otary Public-S tj: riQ9�
Commission#GG 339487
NA MAR E GN ;
2023
Commission No. Gd�a ommission No.66_33 E�MI5519N GG02 02 BOt�OTaYan insurance 800.387 13EXPIRES:December 16,2020
�' t3 d
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
�e_V. 5/6/20