HomeMy WebLinkAboutMcGlothlin_Permit applicationAll APPLICABLE 16JFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 3, 2020
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Cod&Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR: Re Roof asphalt to standing seam metal
PROPOSED IMPROVEMENT LOCATION:
Address: 76Q6 Hibiscus Road Fort Pierce, FL 34951
Property Tax I D #: 1301-605-0049-000-9
Site Plan Name: LAKEWOOD PARK -UNIT 5- BLK 42 LOT6 (MAP 13111N) (OR 740-2728: 1683-483)
Project Name: Lakewood Park
DETAILED DESCRIPTION OF WORK:
Replace shingle roof with 1" standing seam metal roof
New Electrical Meter Second Electrical Meter
CONSTRUCTIgN INFORMATION:
Additional work to be performed under this permit —check all that apply:
—Mechanical
— Electric
Gas Tank
Plumbing
Total 5q. Ft of Construction: 1, 158sf
Cost of Construction: $ 16,500
— Gas Piping
Sprinklers
Lot No. 6
Block No. BLK 42
_ Shutters Windows/Doors Pond
Generator --Roof Pitch
Sq. Ft. of First Floor: 1,158sf
Utilities: —Sewer —Septic Building Height: 9'
OWNER/LESSE :
Name Sabrina McGlothlin
Address:7506 Hibi$cus Road
City: Fort Pierce State:.
Zip Code: 34951 Fax:
Phone No. 772-323-9981
E-Mail: Mark@del000nstruction.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name:Mark Detlof
Company: DeLo Construction services
Address:2189 SR Erwin Road
City. Port Saint Lucie
Zip Code: 34952 Fax:
Phone No 772-323-9981 ~
E-Mai I Mark@deloconstruction.com
State or County License CCC1332142
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.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER; Not Applicable MORTGAGE COMPANY:
Name: Not Applicable
Address: Name:
City: Address:
State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ` Not Applicable BONDING COMPANY:
Name: Not Applicable
Address: Name:
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 maWes 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 1 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
improvemen6 to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County end posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender on an attorneybefore commencin work or recording our Notice of Commencement.
Signature of Owner' Lessee/ tractor as Agent for Owner Signature of ont actor/Lic se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
Sworn to (or affirmod) 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 this 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 Identificatiop Type of Identification
Produced Produced
(Signature of Notary Public- State of Florida ] (Signature of Notary Public- State of Florida j
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE T__ k
COMPLETED
ev.