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HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: DEB 13 2021 Permit Number: (`-- ,�lUl�Q� 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:NEW SHINGLE ROOF Address: 6204 MANNING WAY Property Tax ID #: 130161201700008 Site Plan Name: Project Name: MANNING WAY ROOF REMOVE AND REPLACE SHINGLE ROOF WITH NEW New Electrical Meter Second Electrical Meter Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: 2,000 Cost of Construction: $ 7,500 _ Generator Lot No.6 Block No. 126 _ Windows/Doors _ Pond Sq. Ft. of First Floor: Roof 4 N 12 Pitch Utilities: —Sewer —Septic Building Height: 122 NameN3 SONS LLC Address:8791 NW 21ST CT City: CORAL SPRINGS State: _ Zip Code: 33071 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name:RENE REYES Company:MYFLORIDA ROOFING Address:3400 43RD AVE SUITE 7 City: VERO BEACH State: FL Zip Code: 32960 Fax: Phone N0772-453-7219 E-Mail CS@MYFLROOFINGCONTRACTOR.COM State or County License CCC1 326546 it value of construction is 7_500 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. _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable Name: I Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: 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 Horne 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 lendpr nr an attornev before commencing work or recording vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner ¢ --Signatureactor/License Hol er STATE OF FLORIDA ` �i 4 r -' STATE OF FLORIDA OF f )-\ j COUNTY OFF t COUNTY 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 day of 2020 by this,.., day of Qz 2020 by Name of person making statement. Name of person making statemenc,\ Personally Known OR Produced Identification Personally Known OR Produced Identification Type of identific tion Produced -dam Type of Identification Produced (Signature o Notary Public- a e of Flori a) (Signature of Notary Public- State of FI Ida) Commission No. `' Public of Ftori ission No. tyre amen H Es My commission is °cy Notary Public State of Fl REVIEWS FRONT !28l2023 NS JIEW VEGETATION co RTrire; 1 missio Ggq�� 7 COUNTER REVIEW REVIE REVIEW DATE RECEIVED DATE COMPLETED Kev. 5/b/Lu