HomeMy WebLinkAboutPeery Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Roof Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 4104 Lookout Ct, Fort Pierce, FL 34951
Property Tax ID #: 1313-502-0094-000-0
Site Plan Name: Peery Residence
Project Name- Peery Roof Replacement
DETAILED DESCRIPTION OF WORK:
Lot No. 517
Block No,
Remove existing shingles down to wood deck. Inspect/Repair/Renall wood deck to trusses using 8D ring shank nails.
Install self -adhered roofing undedayment to entire roof area. Install new shingle roof.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_rviechanical — Ge%5 Tank 0 cz� r'! ping 51-au ttt:r" pQnd
Electric Plumbing Sprinklers Generator (,/Roof 6/12 Pitch
Total Sq. Ft of Construction: 3000 Sq. Ft. of First Floor:
Cost of Construction: $ 16,350 Utilities, —Sewer —Septic Building Height: 10'
OWNER/LESSEE: CONTRACTOR:
Name Mary Peery Name:Anclrew Keys
Address: 4104 Lookout Ct Company. -Andrew Thornas Contracting
City: Fort Pierce State: Address, 1193 SE Port St Lucie Blvd #322
Zip Code: 34951 Fax: City
: Port St Lucie _State: FL
Phone No. 772.359.5790 Zip Code: 34952 Fax:
E-Mail: mPeeryl 096@aol.com Phone No772.626.1250
Fill in fee simple Title Holder on next, page (if different I E-t,,4ailandrewchomasrontracting@gmaii.com
from the Owner listed above) State or County License CCC 133 11638
If value of construction is 2500 or more, a RECORDED Notice of Com mencernent is required
if value of HAVC,s $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
_ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 guying 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 }obsite before the first inspection. If you intend to obtain financing, consult
with lender or an attcarnev before commenciniz work or recordini vour Notice of Commencement.
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Signature of of Own r/ Lessee/Co//nllactor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
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STATE OF FLORID a
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Sw n 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
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this/ day of Tis vR^^� ]202f by
th`i day of 202a by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification _4
Personally Known VnOR Produced Identification
Type of Identification
Type of dentification
Produced F 0 �Y l�ddt� Sg� .-/-70r- O
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(Signature of Notary Public- P
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ASLAM M. HUSSAI N
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Commission No. MY""1SS10N#GG961059
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