HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02110/2021
Permit Number:
L t�: :tL- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xxx
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Reroof
PROPOSED IMPROVEMENT LOCATION: Al i 1't elP
Address: 6102 Palm Dr Fort Pierce,F1,34982
Property Tax ID f#: 3402-6OM585-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Reroof shingle to 5v metal
}ck I RICE - 1(
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Lot No.15
Block No. 68
_Mechanical _ Gas Tank
Electric Plumbing
—Gas Piping , Shutters \Windows/Doors Pond
Sprinklers _ Generator i" Roof 5112 Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 5000.00
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJoanne Padon
Name: Michael blue
Company: Michael Blue Roofing Inc.
Address:6102 Palm Dr
City. Fort Pierce
State: _
Addre5s:34315th pl sw
City. Vero Beach State:A
Zip Code: 34982 Fax:
Phone No.772-277-1378
Zip Code: 32962 Fax:
Phone N0772-277-1378
E-Mail:michaelblue772@gmaii.com
Fill in fee simple Title Holder on next page (if different E-Mail michaelblue772@gmaii.com
from the Owner listed above) State or County License RC;-29027579
If value of constructions 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: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE T17111E HOLDER: _ Nat 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 Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure Please consult %nth 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 5t. 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
'�recarded in the public records of St -
Lucie County andpost on the jobsite before the first inspectio . ! tend to obtain financing, consult
with I�ruier or aF{at 6rnevbefore'eammencine work or recordi•� nuYl�fotieg of Commencement.
�r t
Signature c f Owner/ Lessee/Con ractdras Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI#.
STATE OF FLORID
COUNTY OF _
�UCI
COUNTY OF
Ssr;P4 (or affirmed) and subscribed before me of
Sworr or affirmed} and subscribed before me of
VP llysical Pre a or Online Notarization
Y P ysical Presenc or online Notarization
this day of U 2026 by
this day of — rU7U 202Q by
''�!y'ho Bluc'
blLhOd )
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification °'
Personally Known OR Produced identification
Type of Identin tion 1
Type of Ident f l ti t
n
Produc i f �'
f 7
Produced I
(Signature of Notary P���dN�J�W
nature of Notary Public- State a of
Notary PubYc 5tataCommission
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/1U