HomeMy WebLinkAboutBuilding Permit Application - NotarizedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 /19/2020
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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
Residential X
PERMIT APPLICATION FOR. Re -Roof Garage Portion - Laminated Shingles
PROPOSED IMPROVEMENT LOCATION:
Address: Just the Garage at 3112 8th Hole DR 34952
Property Tax ID #: Parcel ID: 3425-707-0183-000-0
Site Plan Name: LINKS AT SAVANNA CLUB (PB 40-39)
Project Name: Byrnes, Dennis and Patricia
Lot No. 2
Block No. 41
DETAILED DESCRIPTION OF WORK:
The roof on the main portion of the house is on a mobile home (which was verified by the a county planner over the phone).
The property owner built an addition to the mobile home. County planner verified that the only portion for the re -roof which will
require a permit is the roof over the garage. Remove existing roof down to decking and replace with a new laminated shingle roof.
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 684
Cost of Construction: $ 2,394.00
Generator
_ Windows/Doors ` Pond
Sq. Ft. of First Floor:
7 Roof 3 Pitch
Utilities: _Sewer _Septic Building Height: 1 story
OWNER/LESSEE:
CONTRACTOR:
Name Dennis & Patricia Byrnes
Name: Jason Morar
Address: 3112 8th Hole Drive
Company: Southern Roof Systems, Inc
City: Port Saint Lucie State: 'V L
Zip Code: 34952 Fax:
Phone No. 908-451-8869
Address: 2685 SW Domina Rd Port St. Lucie, FL 34953
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax:
Phone No 772-242-8425
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailjason@southernroofsystems.com
State or County License CCC1332470
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 clothe 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
wiW lender or an attorn before commencing work or reco ding your Notice 9f ommencement.
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Signatu Ia of Owner Lessee/Contractor as Agent for Owner
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Signatur f Contractor icense H er
STATE OF FLORIDA
COUNTY OF 5}C U , e'
STATE O FLORIDA
COUNTY OF k [ L: C=. f
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Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization_/
this.44 day of Ll[ f�e(Y� 12020 by
Physical Presence or Online Notarization
this_ day of 2020 by
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Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known o/ OR Produced Identification
Type of Identification
Type of Identification
Produced
produced
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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