HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1J1$1 Permit Number'.
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` 4 6 Building Permit Application
r boning Ond Developff ortt Services
ftfidrng orrd Code Regulation Division Commercial Residential xx
2300 Virginia Avenue, Fort ?+erne ft 34982
Phone: (772) 462-1553 Fax: (7 721462-1578
PERMIT APPLICATION FOR. RICH RD GARDNER
PROPOSED IMPROVEMENT LOCATION: �
Address: 1.308 PARKLAND BLVD, FT. PIERCE FL 3498
Property Tax ID #: 3449-703-0036-000-3 Lot No.15&16
Site Plan Name; R IC HARD GARDNER Block No_ 4
PFnject Name; REROOF
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING SHINGLE AND FLAT ROOF WITH NEW SHINGLE AND FLAT ROOF
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION'
Additional work to be performed undeF this permit —check all that apply.
_Mechanical _ Gas Tank _Gas Piping :Shutters _Windows/Doors _Pond
Electric _ Plumbing _ Sprinklers _Generator _ Roof 5112 Pitch
Total Sq. Ft of Construction: 2,5W Sq. Ft. of First Floor:
Cost of Cork#ruction_ 16.075 Utilities. —Sewer -septic BuiIding Height: !
OWINERAESSEE: CONTRACTOR:
NameRICtHARD GARDNER
Name:LEE DINENBERG
Address:1308 PARKLAND BL D
com pa ny-, FR E E DOM ROOFERS
City, FT. PIERCE State; :
Address:5575 US H Y 1, SUITES 1 & 2
City: VERO BEACH State; FL
Zip Cade: 34982 Fax;
Phone No.77-461-931 B
Zip Code: 32967 Fax: 772-217-4459
E-Mail:
Phone No772-318-4600
Fill in fee simple Title Holder on next page { if differla-at
E-Mail greatroofs@freedornroofers. om
from the Owner Imisted above)
State or County License DOD1330900
ff Value of construction is 25Q0 or more, a RECORDED Notice of Commencement is requifed,
If value of HAVC is $7,500 a more, a RECCRDS0 Notke of Carnmerticement Is required,
UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATI N:
DESIGNER/ENGINEER: _ Not Applicable
M0RTGAGE COMPANY: _ Not Applicable
Narne;
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 -
OW N E R/ CONTRACTOR AFFIDVIT: Appiiration is hereby made to obtain a permit to do the work and installation as Indicated.
I certi.y that no warn o: installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorite thepe rmit holder to build the sub*d structure
which is in �onflict with any applicable Home Owners Association
structure. P ease consult wpth your Home Owners Association and
rules, bylaws or and co++enants that may restrict or prohibit Such
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 falhire to Retard a Notice of Commencement may re'sule in paying twice for
improvements to your property, A Notice of Camme ncement must be recorded in the public records of St.
Lucie Count and posted on the jobs ite before the first inspection. If yg intend to obtain financing, consult
with Ien an a tto mey before omm enci ng work or record in r otce of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Sign re o ontr
actorf Lic
se Holder
STATE 01` FLORIDA
STATE OF FLORIDA
CQUNTY OF -.rrvEa
COUIYTY IMF 1'.±uNRrrpa
Sworn to (or affirmed) and subscribed before me of
Sworn to for of#limed) and subscribed before me of
x Physical Presence or online Notarization
x Physical Presence or_
Online Notarization
_
this 10 day of uAx,' , 2020 by
this +e day of Arauxar
12020 by
LEE 4MEw@ERG
LEE 8NEti6ERG
Name of person making statement,
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identlflcatlon
Type