HomeMy WebLinkAboutScan_2021-02-01-152456769All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
LIT CIE
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:RE-ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 430 East Prima vista Blvd Port saint Lucie FL 34983
Property Tax ID #: 3419-530-0065-000-6
Site Plan Name:
Project Name: Osmani Estrada
DETAILED DESCRIPTION OF WORK:
Remove existing shingle roof
Aptly Resisto modified direct to deck
Residential X
Lot No.2
Block No. 33
Install Iko Dynasty shingle. Apply Polyglass SAV direct to deck/Apply SAP capsheet.
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
Total Sq. Ft of Construction: 32SQ
Cost of Construction: $ 16000
Sprinklers _ Generator s Roof 3112 Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameOsmani Estrada
Name:Joshua Schroeder
Address:430 E Prima vista Blvd
Company: Marzo Roofing Inc
City: Port saint lucie State: �_
Zip Code: 34983 Fax:
Phone No. 772-215-5929
Address:861 Sw lakehurst drive
City: Port saint Lucie State:fl
Zip Code: 34983 Fax:
Phone No 772-871-2489
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License CCC1331207
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.
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
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 inle d to obtain financing, consult
With lanrhar nr an aPv hpfnrP rnmmenrine work or recording vourNi5Wce'of Commencement.
Signature wner/ Lessee/Contractor as Agent for Owner
Signatureof Contractor/License Holder
STATE OF FLORIDA c
STATE OF FLORIDA cJ�
COUNTY OF ��'
COUNTY OF
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
this LL day of -Fc . ��u '4.. 1 2021 by
this V day' l�202@f by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produ ed Identification
Personally Known OR Produced Identification L�
Type of Ide ification
Type of Identification
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Produce
of Florida
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My Commission GG 098831
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Eo 'ssion No. �' opExpires N&gjY021
moo° Expires 04/2712021
Commission No. " 06 AA
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