HomeMy WebLinkAboutBuilding Permit Application rAllPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDte:_ t a� I5 Permit Number:
RECEIVED
a
JAN 2 0 1021
Permitting Department
Building Permit Application St. Lucie County
Planning and Development Services
Building and Code Regulation Division Commercial l Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:REROOF — yy-
PROPOSED IMPROVEMENT LOCATION:
Address: 122 QUEEN CATHERINA CT. FORT PIERCE,FL. 343951
Property Tax ID#: 1414-701-0136-000/8 Lot No.B
Site Plan Name: QUEEN COVE Block No. 15
Project Name:
DETAILED DESCRIPTION OF'WORK:
TEAR OFF OLD SHINGLE AND INSTALL 5V-METAL
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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 Pitch
Total Sq. Ft of Construction: 3200 Sq. Ft.of First Floor: 2800
Cost of Construction:$ 19000.00 Utilities: —Sewer —Septic Building Height: 8
OWN ER/LESSEE: CONTRACTOR:
Name RONALD EMERSO Name:JOHN G CANNON
Address: 122 QUEEN T RINA Company:JOHN G C N
City. FORT PIERCE State:_ Address:7901 CITRUS 11ARK BLVD
Zip Code: 34951 Fax: City: FORT PIERCE State: FL
Phone No.772-380-7427 Zip Code: 34951 Fax: 772-468-0272
E-Mail: Phone No CELL 772-201-1771
Fill in fee simple Title Holder on next page(if different E-Mail JGCANNONROOF@ ICLOUD.COM
from the Owner listed above) State or County License CCC1330664 '
If value of construction is 25001or 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: 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 ender or an attorney before commencin work or recording our Notice of Commencement.
ignature f Owner/Lessee/Contractor as Agent for Owner F4ukreof Contractor/License Holder
STATE OF FLO IQA STATE OF FLORIDA
COUNTY OF k. Lycvt e. COUNTY OF-4 3r. 1-
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
thisaOday of�,r� 2021 by this a s day of .202d 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 Identifica ' n Type of Identification
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(Signature of Notary Public- tate of Florida) (Signature of Notary Public-State of Florida 1
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