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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/10/2020 Permit Number: SLC 2011-0371
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Building Permit Application
Planning and Development Services
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
PROPOSED IMPR01/EMENT LOCATION ; , '
Address: 7100 Brookline Ave. Ft.Pierce
Property Tax ID#: 1301-611-0154-00017 Lot No.7
Site Plan Name: Block No. 107
'Project Name: Laurenzano Re=Roof
DETAILEQ DESCRIPTION OF UVORK 1:
Removing existing shingles, Installing Peel/Stick underlayment and Installing a standing seam metal roof
New Electrical Meter Second Electrical Meter
CONSTRUCTIONLNFORMATIO.N r s
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 C Pitch
Total Sq. Ft of Construction: 2000 Sq. Ft. of First Floor:
Cost of Construction:$ 8,000.00 Utilities: _Sewer _Septic Building Height:
OWNER%LESSEE` ::f CONTRACTOR: 4
h
Name Jesse Laurenzano Name:Michael Zabitosky
Address:592 Biscayne Lane Company:Zabitosky Construction
City: Sebastian State: �-�- Address:574 10th ave
Zip Code: 32958 Fax: City: Vero Beach State: L^
Phone No. Zip Code: 32962 Fax:
E-Mail: Phone No 772-528-1760
Fill in fee simple Title Holder on next page(if different E-Mail mzabitosky@gmail.com
from the Owner listed above) State or County License CCC1330062
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:NIA Name:N/A
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name:NSA Name:N/A
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.
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nature ee/ tractor as Agent for Owner Signature of Contra—�a�
STATE OF FLORIDA STATE OF FLORIDA
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pSwo to(or affirmed)and subscribed before me of Swo to(or affirmed)and subscribed before me of
Ph sical Presence or Online Notarization Physical Presence or_Online Notarization
this 0 day of [P V�!D 1� .2020 by this�day of i1 2020 by
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Name of person making statement. Name of person making statement
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Type of Identification Type of Identification
Produced Produce
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