HomeMy WebLinkAboutBuilding Permit Application All APPLICARLUNFq MUST BECOMPLETED FOR APPLICATION TO BE ACCEPTED
K.7 Date: % 1&V Permit Number:o�C�
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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 2
PR;OPOSEDDIIVIP,ROVEMENT'LOCATCQN '
Address: 2111 Jacobs Rd
Property Tax ID#: 2428-231-0009-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Crocker Project
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® A�ILED,D.ESCRIPTION.'OE WORK:.:
BUILDING 2-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
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C�OtNSTRUCT F0 MN TION
L 4e1 'va�
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _W�indo�ws/Door _Pond
_Electric _Plumbing _Sprinklers _Generator s/Roof Pitch
Total Sq. Ft,of Construction: 1600 Sq. Ft. of First Floor:
000, L 1
Cost of Construction: $ 12 Utilities: _Sewer _Septic Building Height:
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N®WN°ERA CONTRACTOR:
:may ��LESSEE
Name
Crocker GroupLLC 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 N0800-757-4644
Fill in fee simple Title Holder on next page(if different E-Maillenni@thehurrianeroof.com
from the Owner listed above) State or County License CCC1330961
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.
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SUP.PLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applic e MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE �TLEDER: _Not Applicable TBONDING COMP Not Applicable
Name: e:
Address: ress:
City:
Zip--' Phone: Zi Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is her made to obtain a permit to do the work and installation as indic Ited.
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 attorne be ore commencing work or recording our Notice of Commencement. 1,
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Signature of Owner/Lessee/Cont ctor as Agen or Owner Signature of Contract /License Holder
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STATE OF FLORIDA STATE OF FLORI
COUNTY OF COUNTY OF
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Sworn to(or affirmed)and subscribed before me of Sworn o(or affirmed)and subscribed before me of
ysical Presence or Online Notarization Physical Presence or Online Notarization
this day of 020 by this day of 2020 by
Name of person making statement. Name of person maki tatement.
Personally Known OR Produced Identification Personally Known C/OR Produced Identification
Type of Identification Type of Id tification
Produ d P e
Signa ure of No Vary Public- + ' nature of Notar ublic- ;F.'rj
iv'• JHOVANNA NEGRON B
wh.. •. JHOVANNANEGRON B
ply IoN#GG 323420 ' ;� my `�qION ft GG 323420
Commission No. ' _ �AO19,2023 Commission No. •�
or '4�c IE P RES':Wl 19,2023
''•?�.�$: Buoded Tlnu PubFc lfidelers !� tgY''Bondad Th u Nod Public lhd yvrt tars {
.s.B
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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ev.5/6/20
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