HomeMy WebLinkAbout Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/15/2021 Permit Number:
S5Z r'. Lum
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR:
�~v ��S1C Pv1�� 1y lit4� 6- V KAGI
PROPOSED IMPROVEMENT LOCATION:
Address: i ivo oan 1-anos ur., Fort Fierce, FL 34951
Property Tax ID #: 1301-603-0073-000-0
Site Plan Name: LAKEWOOD PARK -UNIT 3- BLK 19 LOT11 ((MAP 13l14N) (OR 1894-202 ; 2096-2833: 3868-7611
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No. 11
Block No. 19
We will be taking off the shingle roofing and examining the plywood nailing pattern and bringing it up to code if not already.
We will then start restrapping of the rafters to code. We will be installing Peel N Stick underlayment (FL2569-R21112569.1)
Once we install mpv, boots, drip edge, valley, and flashing we will then install the 26G 5V panels (FL1 7022-R8/17022. 1)
New Electrical Meter NA Second Electrical MeterNA
CONSTRUCTION INFORMATION: 1
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 A Roof Pitch
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 11,600
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height: 12 FT
OWNER/LESSEE:
CONTRACTOR:
Name Pamela Potter
Name: Luke McConnell
Address:1476 San Carlos Dr.
Company: Modtek Roofing Inc.
City: Fort Pierce State: —
Address:1360 Old Dixie Hwy SW Ste 103
Zip Code: 34951 Fax: NA
City: Vero Beach State: FL
Phone No.513-708-3299
Zip Code: 32962 Fax: NA
E-Mail:Pampotter8@aol.com
Phone No772-213-8437
Fill in fee simple Title Holder on next page ( if different
E-Mail needroof@modtekinc.com
from the Owner listed above)
State or County License CCC 1326977
re. -a- -r_
-•--'•-'� '•••-•�..•+.. �.�...v...a RJW V. 1I.V.O, O nG%.WnLFr / ,r(jULt! or 1ommencement is requireo.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
utarnrvtK/tIVGINtkR: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Nat Applicable
Name: `—
Address:
city: _ State:
Zip: Phone
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
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 Nbtice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA t /� I STATE OF FLORIDA
COUNTY OF �Llel ; An tom; ✓ a, COUNTY OF�; U
Sworn to (or affirmed) and subscribed before me of
✓ Phpical Presence or Online Notarization
this � day of _ 202f by
' GLw%.AA 4 a 4--f r-,
Name of person making statement.
Personally Known OR Produced Identification ✓
Type of Identification
Produced -CA. [ jce ins
(Signat&Ls'of o �� r-I-r;A-
"""'' ELIZABETH HOGAN
Commission N .Notary Public-SI&MW Florid
"= ommission # GG 977877
My Commission Expires
REVIEWS FRONT ZONING UPE VIS
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Sworn to (or affirmed) and subscribed before me of
✓Physical Presence or Online Notarization
this 1 day of c 2024 by
L4AkL 1(YE`- CO to l l
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced Sdria I (V KW W h
A
(Signature of Not P
Commission No.
A
PLANS VEGEIRfl
REVIEW REVIEW
ELIZABEWOGAN
ozary Publid-W of Floric
Commission # GG 977877
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REVIEW REVIEW