HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Re -Roof Shingle
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential x
Address: 1404 N 43rd St
Property Tax ID #: 2406-506-0093-000-3 Lot No. 12 & 13
Site Plan Name: Block No. 52
Project Name: COpelln Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -Roof Shin le
Underlayment - Weatherlock
Replace Ridge Vents & Off Ridge Vent
I CONSTRUCTION INFORMATION -
Additional work to be performed under this permit— check all that apply:
_Mechanical , Gas Tank _ Gas Piping Shutters
— Electric _ Plumbing
Total Sq. Ft of Construction: 5178
Cost of Construction: $ 21,225
Sprinklers Generator
Sq. Ft. of First Floor:
Windows/Doors
X Roof 6112 Pitch
Utilities: _Sewer —Septic Building Height: 20Y
OWNER/LESSEE:
CONTRACTOR:
Name Leon Co elin
Name: Robert Donovan
Address: 1404 N-43-rd St
Company: Total Home Roofing
city: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No. 772- 32-1629
Address: 597 Haverty Court, Suite 40
City. Rockledge State: F
Zip Code: 32955 Fax:
Phone No 321-452-9223
E-Mail:
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 CM 330489
11 VC1 UC VI L.V115L1ULULlr1 19 ?cauu or more, a KrLUKUtu Notice oT commencement is required.
If value of HVAC 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 Rome 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 YOUR PAYING
TWICE FOR IMPROYEMENTS 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 Qw r e55ee1Contractor as Agent for Owner Signature of Co®ror/L�Icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm 1382rh COUNTY OF
The for ping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z5Cday of .%2OLV . 20&L by tNs 95�j day of 26,71 by
Robert Donovan Robert Donavan
Name of person making statement. Name of person making statement.
Personally Known x OR Produced identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public 5t i Fon a Isv,.EvicS, ILMIONSON (Signature of Notary Publi4�a e;
My Ci)Ib1MISSi014 # GG 930V2 Ku e •. CH. S €Ad YAf SALMOidSQI�i
Commission No.GG93O883 . `a o=
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BOnded ihnl Notaii� €h1ll1iE 11[IdarvQrl Y i ^r�� Chp March 10, 2424
Oondad3hruNDtaq NNicunder4r;ters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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