HomeMy WebLinkAboutRe-Roof Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _______ _ Permit Number:--------
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercia I ____ _ Residential .;...x ____ _
2300 Virginia Avenue, Fort Pierce Fl 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION :
Address : 2106 Donald Ave Fort Pierce, FL 34946
Property Tax ID#: 1428-703-0017-000-7
Site Plan Name: Re-Roof Residence
Project Name: Re-Roof Residence
I DETAILED DESCRIPTION OF WORK:.
Re-Roof Shingle to Shingle, Underlayment will be two layers of ASTM 30#
New Electrical Meter ____ Second Electrical Meter _____ _
CONSTRUCTION INFORMATION::.~:;~ ,r.
Additional work to be performed under this permit -check all that apply:
Lot No .. _7 ___ _
Block No. 2 ---
_Mechanical Gas Tank _ Gas Piping Shutters Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers Generator --6oof l-j l Pitch
Total Sq. Ft of Construction: 2 r/ Sq. Ft. of First Floor: _________ _
Cost of Construction: $ g--, 1 SO . 0 0 Utilities: Sewer _ Septic Building Height: \ \ ft
OWNER/LESSEE: II
-' ' ' I, GONTRACTOR: -
NameZephyr Associates Holding LLC Name:Amit Zemach
Address: 21 Baldwin CT Company: AZ Contracting
City: Basking Ridge State: tlL Address:5731 NE 14th Ave
Zip Code: 07290 Fax: City: Fort Lauderdale State:~
Phone No. SAME Zip Code: 33334 Fax:
E-Mail: SAME Phone No561-900-6106
Fill In fee simple Tn:le Holder on next page ( If different E-Mail 1mpactservices96@gmail.com
from the Owner listed above) State or County LicenseCCC1328669
If value of construction · IS 2500 or more, a RECORDED Notice of Commencement 1s required.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
Name: • I I I . I .
Addres=s:-: -------------
City: State: Zlp:_-_:_:::::::::-::P:-;-h-on_e ___ _ ---------FEE SIMPLE TITLE HOLDER: _ Not Applicable Name:
Addres;;s:-: ------------
City:
Zlp:::::::::-::P:;:-h-:-on_e_: _______ _
• 'I I Name:. ______________ _
Address: __________ ,,..... __ _
Clty: ___ -:-:-______ State :_
Zip: ____ Phone:. _______ ----:-_
BONDING COMPANY: Name:. _______________ _
Address: ______________ _
City: ___ --.-________ _
_Not Applicable
Zip: ____ Phone:. _________ _
OWNER/ CONTRAOOR 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.
:tit-c'licle 1Countv1mctawtkeshno representation that Is granting a permit will authorize the~rmlt holder to build the subject stohrubctult re h 5
n c:;onfl t any \lppllcable Home Owners Association rules bylaws Qr an covenants that mav. restrict or pr I sue structure. Please consult Wlth your Home Owners Association and review your deed r any restrictions which may apply.
In consideration of the granting of this requested permit, 1 do hereby agree that I wlll, 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 payln1 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 attorne before commencln work or recordin our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA .,,.J,.
COUNTY OF __ M!....L!:::..a :..:., 11.:.:.n~-------,..._..,~tn m or affirmed) and subscribed before me of
hyslcal Presence or __ Online Notarization
day of ______ 2020 by
f pe"°n maldzent
ally Known OR Produced Identification __
Identification
Commission No. ____ _ (Seal)
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
X
STATE OF FLORIDA t '
COUNTY OF M.c,. t 1()
Sworn ~r affirmed) and subscribed before me of
......L..cf1nysical Presence or __ Online Notarization
this_ day of ______ 2020 by
Am~t Z-erYlqch
Name of person making s~ent.
Personally Known ___L_ OR Produced Identification--..
Type of Identification
Produce»-----~----
Commission No. ____ _ (Seal)
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW