HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED A I
D- 0 2_,qq
ate: November 4 2020 Permit Number:
Building Permit Applicatio
Planning and Development Services \ LST
Building and Code Regulation Division Commercial �� Re
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
NOV 13 2020
County, Permitting
PERMIT APPLICATION FOR: ROOF REPAIR
PR®POSFD )MPR VEM'ENT EO AT -ION: y �kz *',� %w Fa%t.v3.-.5e,�v ✓,i" . ya, ry
Address: 4949 N Highway Al Apt 132, Hutchinson Island, FL 34949
Property Tax ID #: 1414-602-0048-000/0
Site Plan Name: 4949 N Highway Al Apt 132
Project Name: Alicia F Slater (TR)
Lot No.
Block No.
ROOF REPAIR- REMOVE APPROX. 500 SQ FT OF ASPHALT SHINGLES ON PORTION OF APT, NAIL OFF
ROOF SHEATHING TO CODE, INSTALL SELF ADHERED UNDERLAYMENT TO DECK, INSTALL OWENS COF
ASPHALT SHINGLES WHERE REMOVED.
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
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof 6/12 Pitch
Total Sq. Ft of Construction: 500
Cost of Construction: $ 5,600
Sq. Ft. of First Floor:
Utilities: -Sewer —Septic Building Height: 15
OVVNEER�pLESS�EE
rs�ear�c YY
CONTR�ACT®�R �5
_ _� ,..A Yza',. ., .¢. ,. `�` _,.m� „T2z,�«=a� �;
NameAlicia F Slater (TR)
Address: BREAKERS LANDING UNIT 132
Name: ROBERT J DILLON JR
Company: INDIAN RIVER ROOFING & REPAIRS
City: Hutchinson Island, FL State: _
Zip Code: 34949 Fax:
Phone No. (772) 569-9853
Address: 806 11TH DRIVE SW
City: VERO BEACH State: FL
Zip Code: 32962 Fax:
Phone No (772) 713-7216
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail CONTACT@INDIANRIVERROOFING.COM
State or County License CCC1331348
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.
° SIJPP�LEM�EN�TAfL`�CO�NSTRlJC�1®N :LIEN
LAUV INF®R�%I�ATI�ON
s ���{s �
�� • , �� .. ,
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Not Applicable
Address:
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 anornev before commencing work or recording vour Notice of Commencement.
�tuu� l
Signatur of Own r/Lessee/Contractor as Agent or Owner Signature of Contractor/License Holder
STATE OF COUNTY OF
O
F FLQRIDA
�( �� �iv� COUNTY OF JON n River
Swor o (or affirmed) and subscribed before me of
P sical Pres nice or Online Notarization
this day of dv Cl�cW 2020 by
PM� '�'097
Name of person making tement.
Personally Known OR Produced Identification
Type of Identification
Sworn to (or affirmed) and subscribed before me of
Physical Pres nce or Online Notarization
this j,5� day of 2020 by
2 obf --- s.. lD I6(n max-.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(sign ure of N u ic- State of Florida
(Signature of Notary Public- S te0f
Aricln*q PuaieSuteotFbrida
KiersGn Skyler Dillon
` Y P '•
:rosa. �e'••. JULIE BARRETT
Commission No :? `:;�� Notar Pubic-st(,S @klorida
' d � mission GG 926054
Commission No. 1pJ24no2a
c9 `� Commissior = GG 243242
�w
My Comm.E ices Leo 28. 2022
bondled thjet.t
patio . `fl'A55n.
REVIEWS FRO
iffG ""`
RVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED