HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/20/2021 Permit Number: )�
91Yo ��(��� RECEIVED
.IAN 2 1 2021
Building Permit Application
Permltting Department
Planning and Development Services '.t. Lucie County
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: Tile Re-Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5742 Place Lake Drive, Fort Pierce, FL 34951
Property Tax ID#: 1312-503-0008-000-1 Lot No.52
Site Plan Name: Rochon Block No.
Project Name: Rochon
DETAILED DESCRIPTION OF WORK:
i
Remove exisiting rooting material,repair/re-nail decking,install synthetic underlayment and install new Boral Villa 900 new roofing system.
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:
Cost of Construction: $ 49,140.10 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Jean Rochon Name: Troy Glowth
Address: 586 Rue Morin 5 Company:Advanced Metal Roofing, Inc. D/B/A Brilliant Roofing
City: Sainte-Adele State:_(X—. Address: 4149 SE Salerno Road
Zip Code: J813 2P9 Fax: N/A City: Stuart State: FL
Phone No. N/A Zip Code: 34997 Fax: N/A
E-Mail:N/A Phone No 772-678-6654
Fill in fee simple Title Holder on next page( if different E-Mail Mail@brilliantroofing.com
from the Owner listed above) State or County License CCC1327906
If value of construction is 2500 or 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: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Co tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Marun COUNTY OF Marun
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization x Physical Presence or Online Notarization
this zom day of January 202Q by this zotn day of January , 202t by
Troy Glowth Troy Glowth
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
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DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20