HomeMy WebLinkAboutBuilding Permit Application All APPLICABLJ INFO LIST
UST rBE/COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: V a��V
Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Reroof - BUILDING 1
RRO�POSED_ ' ROVEIVI ENT.LOCATION:
Address: 2111 Jacobs Rd
Property Tax ID#: 2428-231-0009-000-3 Lot No.
-Site Plan Name: Block No.
Project Name: Crocker Project
DETAILED DESCRIPTION OF,WORK:.'e
BUILDING 1-Reroof, remove current shingle system, repair/renail deck to code, install self-adhered underlayment,
install new metal roof system
New Electrical Meter Second Electrical Meter
CONSTRUCTION,I NFORMATION:. '
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Do�o+r _Pond
Electric _Plumbing _Sprinklers _Generator oof �T �- Pitch
Total Sq. Ft of Construction: 1600 Sq. Ft. of First Floor:
Cost of Construction:$ 12,000 Utilities: —Sewer —Septic Building Height: �� 1
0.WNfR/LESSEE CONTRACTOR:
Name Crocker Group LLC Name:Brian Konrath
Address:3920 SE Coerce Ave Company:Hurricane Roofing Solutions
City: Stuart State: Address:3180 SE Dominica Ter Ste 1
Zip Code: 34997 ! Fax: City: Stuart State:FL
Phone No. Zip Code: 34997 Fax:
E-Mail: Phone No800-757-4644
Fill in fee simple Title Holder on next page(if different E-Mailjenni@thehurrianeroof.com
from the Owner listed abo I ve) State or County LicenseCCC1330961
If value of construction is 2500'or more,a RECORDED Notice of Commencement is required. 3-0
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not App icable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone," Zip: Phone:
FEE SIMPLE TITL OLDER: _Not Applicable BONDING COMP A Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
O NER/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 attornex before commencing work or recording our Notice of Commencement.
Z/' - - !:�?�
Signature of Owner/Lesse ontractor a gent for Owner Signature of Cont actor/License H der
STATE OF FL RI STATE OF FL AA
COUNTY OF COUNTY OF
Sworn r affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
WIcal Presence or Online Notarization r Physical Presence or Online Notarization
t 's day of `��d 2020 by this day of 12020 by
WY l Y ! zyc-"dN V-'OcyC =.
Name of person makingstatement. Name of person making statement.
Personally Known& /OR Produced Identification Personally Known yOR Produced Identification
Type o entification Type of Identification
ce ce
�'Ygnati.kii of Notary ublic- ANl1AN#GWG g (Signature of Not y Public-Stat
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Commission No. +r S:Apf1102 1 / 1RMISSION#GG323420 }
i (� Commission No. s. l IdIRS:Apd 19 2023 (I,EaidedThro P�AeRdan"fe°' -.;t„moo;` -f
•Hooded TFiu Ne+ary P,;L•G"ihxLitiritlr.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20