HomeMy WebLinkAboutBuilding Permit Application All APPLICA E INFO rUUST( B�E COMPLETED FOR APPLICATION TO BE ACCEPTED p�
Date: 0 CJ V Permit Number:
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a ° ° p - Building Permit Application
Planning and Development Services ;I
Building and Code Regulation'Division Commercial Residential
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2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Reroof - BUILDING_ 3
PROPOSED*,I'AIVIPROVE(VIfNT LOCATIONc '
Address: 2111 Jacobs Rd
Property Tax ID#: 2428-231-0009-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Crocker Project
D'ET#AILED DESCRIPTION PF WORK:
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BUILDING 3-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
C®NNSTYRUCTIQNINFORMATIQN:
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 4-9—oof y a Pitch
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Total Sq. Ft of Construction: 1600 Sq. Ft. of First Floor:
Cost of Construction: $ 12,000 Utilities: _Sewer _Septic Building Height:
OWyNER=/LESSEE 'CONTRACTOR: A s
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NameCrocker 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 N0800-757-4644
Fill in fee simple Title Holder on next page if different E-Maiijenni@thehurrianeroof.com
from the Owner listed above) State or County LicenseCCC1330961
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If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 on more,a RECORDED Notice of Commencement is required. J
SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: e: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOL _Not Applicable BONDING COMP Not Applicable
Name: Name:
Address: Addres
City: Cit .
Zip: Phone: Ip: 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.
Signature of Owner/Lessee/C ractor as Agen or Owner Signature of Co tractor/License Ider
STATE OF FLORIDA STATE OF FL IDA
COUNTY OF COUNTY OF
Sww y o(or affirmed)and subscribed before me of Sworn or affirmed)and subscribed before me of
10
Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of 2020 by this day of 2020 by
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Name of person making statement. Name of person making statement.
Personally Known //OR Produced Identification Personally Known OR Produced Identification
Type of Ide tification Type of Identification
P Prod ucW
Si ture of Notary Pu ic-S p` on a VMMNEr3R0NB gnature of Notar Public-S e. p ida,I�tOym KEGRONB
' W COMMISSION#GG 323420 NY CpMMIS$tON#GG 323420
Commission No. _ : $ S:Apr119 2023 ., ;e= ( :Ap19,�
( Commission No.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20