HomeMy WebLinkAboutcorrected building 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Re -Roof
Address: 225 SE Airoso Blvd
Property Tax ID #: 3419-540-0247-000-7 Lot No. 24
Site Plan Name: Block No. 50
Project Name: Davenport RP Roof
Re -Roof Flat
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 2295 Sq. Ft. of First Floor: _
Cost of Construction: $ 10,700 Utilities: _ Sewer _Septic
_ Windows/Doors
X Roof 1 /12 Pitch
Building Height: 20'
NE f S EE:
CONTRA " „
Name Jirl Davenport
Name: Robert Donovan
Address: 225 SE Airoso Blvd
Company: Total Home Roofing
City: Sant Lucie West State: FL
Zip Code: 34983 Fax:
Phone No. _417-499-1474
E-Mail:
Address: 597 Haverty Court, Suite 40
City: Rockledge State: F
Zip Code: 32955 Fax:
Phone No 321-452-9223
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Christa@throofing.com
State or County License CCC1330489
if value of construction is 525uU or more, a KtLVKLJtU IVDCIGC vl e..UItIstics 1e.eeelcl.k u e c4a �.+.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
ORMATION:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 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 1 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Ow r essee/Contractor as Agent for Owner
Signature of Co r or/License Holder
STATEOF ! OF ! M .
COUNTYOF- Palm Reach COUNTYOF Palm Reach
The ng instru lent as cknowledged before me
for
this day of�%*i 20 by
'!!- i! ! r11
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
i
(Sig re of Notary Public- tate of FI ) µ .
ASO S( ' 50a 3
Commission No.GG930. 8 —1. 1S510N �,�930
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REVIEWS I FRONT
COUNTER REVIEW
RECEIVED
DATE
COMPLETED
The f;�instrum nt was nowledge�f re me
this da of 20
Robert Donovan
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
I Signature of Notary Public- State of Florida
---~ �SALMONSON
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