HomeMy WebLinkAboutBuilding permit applAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/8/2021 Permit Number:
�Ir
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 5907 Travelers Way Ft. Pierce FL 34982
Property Tax ID #: 3410-503-0072-000-7
Site Plan Name: Palm Groves
Project Name:
DETAILED DESCRIPTION OF WORK:
Residential xxx
Lot No.4
Block No. C
Remove and dispose of existing shingle roof system, inspect plywooed deck and renail to coee usding 8d shank nails,
replace 5/8 CDX plywood decking as needed and renail to code, Install ASTM 30# felt base sheet nailed to code. Install Lifetime Architectural
Dimensional Shingle roofing System to code.
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 24 sq
Cost of Construction: $ 10,500.00
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof 5
Utilities: —Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Donna Munoz
Name: Ronnie Reymann
Address:5907 Travelers Way
Company: R.A. Reymann Inc.
City: Ft. Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-215-8661
E-Mail: Phil@PParisi.com
Address:19150 County Line Road
City: Tequesta State: FI
Zip Code: 33469 Fax:
Phone N0561-719-1208
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail RABUILDERONE@BELLSOUTH.NET
State or County License CCC1330169
it value or construction is zsuu or more, a KtcURutD 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:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
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.
Signature of Owner/ Le a Contra or as Agent for Owner
Signature of Contrac r License Holder
STATE OF FLORID
COUNTY OF
STATE OF FLORID L
COUNTY OF ' 1!/11 ILU C,L
S�yorn to (or affirmed) and subscribed before me of
Physical Pr ence or Online Notarization
this day of 202� by
Swin to (or affirmed) and subscribed before me of
//\\ P sical Pre ence or Online Notarization
this I day of 2024 by
l vn r) j e TVV 0-
Name of person making statement.
Name of person making s atement.
Personally Known OR Produced Identification
Type of Identification ;�
IJ�-- Notary Pubk State of
Personally Known OR Produced Ide itkfitaitlmly _
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Commission No.
20ig ure of Notary Public- State of F u fa o GQ?�4 f�`
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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