HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r�
Date: 11/24/2020 Permit Number:CSC 01 &4DID
RECEIVED
DFr. 03 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: Residential Re-Roof
PIOPQSED MPRDVEM_ENT LOCATIQN
ddress: 9047 Short Chip Circle, Port Saint Lucie, FL 34986
roperty Tax l D#: Parcel #: 3334-501-0169-000-5 Lot No. 31
Site Plan Name: Block No. D
Project Name: Peter& Judy Caruso
D,ETAI-LED DESCRkPTIONJOF WORK'
Replace tile roof and related accessories
New Electrical Meter Second Electrical Meter
CONSTRUCTION ILVFO,RI\/�ATItN
t: a
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: 2280 sq. ft. Sq. Ft. of First Floor:
ost of Construction:$40,185 Utilities: _Sewer _Septic Building Height:
QWNER/fLESSEE CONTRACTOR'=
m ,
Name Peter &Judy Caruso Name. Phil Coutu
Address: 9047 Short Chip Circle Company: Rooftop Roofing, Inc.
city: Port Saint Lucie, FL State:_ Address: 108 Escalona Ave
Zip code: 34986 Fax: City: Pensacola state: FL
Phone No. 770-548-8631 Zip Code: 32503 Fax:
E-Mail: Phone No 772-475-3867
Fill in fee simple Title Holder on next page(if different E-Mail johnd@rooftopinfo.com
from the Owner listed above) State or County LicenseCCC1326630/CBC1259205
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
I I f value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
�.'r-r- .y � � 1 e 4 i 7 s
SUPPLEMEI �I�LCONSTRUGTION�LIENlA1NINF�ORMATION
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address:. Address:
City: State: City: State:
Zip:_ Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 Count�yy 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 restrictor prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration 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- obtain firiancing,consult
with lender or an attorne efore commencingwork or recordingour Notice ommencement.
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Si tune of Own Lessee acto Sir as Agent for Owner ature of C tractor ' e Holder
STATE OF STATE OF I 10radO
COUNTY OF �' I %Qf-o COUNTY OF 45�f( f aSeo
Sw rn to(or affirmed)and subscribed before me of S rn to(or affirrCmed)and subscribed before me of
Physical Presgnge or Online Notarization Physical Presence or Online Notarization
t " day of �2!/2020 by thi dayof MMT-,�i�.P/` .2020 by
Kt hn,�-o� 1 b�r(� 1Ce
Name of person making ement. Name of`person making tement.
Personally Known OR Produced Identification Personally Known OR Produced Identification Y
Type of Identi cation Type:of]dent i ,ti n
Produced Produced
V �-�
(Signature of Notary Public ate of Florida) (Signature of Notary Public-State of Florida)
Commission o. N 1 a Commissi o.
N KAUTZ
NOTARY PUBLIC-STATE OF COLO129tW
NOTARY PUBLIC-STATEIn
NOTARY 11) 2 98 NOTARY ID Q204023898
REVIEW_ S C ION MMAI&13; VISOR PLANS AVEG MAII)il�t>DN P TiURTl1.f20 NGROVE
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