HomeMy WebLinkAboutBuilding Permit App- 7508 Belleair Ave All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/12/2021 Permit Number:
1. LLl LLL
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: COIIiS Roofing Inc.
PROPOSED IMPROVEMENT LOCATION:Lakewood Park- Unit 7
Address: 7508 Belleair Avenue, Fort Pierce FL 34951
Property Tax ID q: 1301-607-0283-000-7 Lot No.4
Site Plan Name: Block No. 81
Project Name: Connaughton Residence
DETAILED DESCRIPTION OF WORK:
Asphalt Shingle&Mod/Bit Roof Replacement
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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 Roof 6/12 Pitch
Total Sq. Ft of Construction: 2,862 Sq. Ft. of First Floor:
Cost of Construction:$ 13,050.00 Utilities: -Sewer —Septic Building Height: 12 ft
0 W N ER/LESSEE: CONTRACTOR:
Name Gregory J Connaughton Name:J. Douglas Lanier
Address:7508 Bellair Avenue Company:Collis Roofing Inc.
City: Fort Pierce State: Address:3970 Dow Road
Zip Code: 34951 Fax: City: Melbourne State:FL
Phone No. Zip Code: 32934 Fax: 321-751-2307
E-Mail: Phone No 321-751-8850
Fill in fee simple Title Holder on next page(if different E-Mail dsmith@collisroofing.com
from the Owner listed above) State or County License CCC058022
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:NIA Name:N/A
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name:owner Name:NIA
Address: Address:
City: City:
Zip: Phone: 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 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.
Si ture of Own r Lessee Contractor as Agent for Owner SiPhature of Co actor/License Holder
STATE OF FLORIDA `' STATE OF FLORI}?A J
COUNTY OF l ymv� �r� COUNTY OF j5r,/ii��IG
Sworn to(or affirmed)and subscribed before me of - Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization �Phacal Presence or Online Notarization
this>Z -day of Tyyttwa�/ 2024 by this,/•z/day of , an/ur?. V 2021 by
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Name of person makin statement. Name of person m ing statement.
Personally Known —/—OR Produced Identification Personally Known_V OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Pub y ,`S1# f R O"C State S Smith of Florxra (Signature of Notary Public-S tettf rldM)ary Public Stale of Fbrga
a MY Commiemon GG 9555 +� pt �Or ricalnn S Smith
Commission No. S-r �af�d'' Expif9eaf9$1po24 Commission No. @any' &3���/02/0512omrssron 24 955696
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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