HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: DEB 13 2021 Permit Number: (`--
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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
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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
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My commission
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°cy Notary Public State of Fl
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