HomeMy WebLinkAboutREROOF PERMIT APPLICATION - 538 PAUROTIS LNAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-19-2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: RE ROOF
PROPOSED IMPROVEMENT LOCATION:
Address. 538 Paurotis LN
Property Tax ID #: 3410-503-0245-000-1 Lot No. 4
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLE ROOF
INSTALL PEEL & STICK FL2569
INSTALL SHINGLE FL10674 INSTALL RIDGEVENT NOA No.: 19-1217.03
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 _Yows/Doors Pond
Electric Plumbing Sprinklers Generator oof 5/12 Pitch
Total Sq. Ft of Construction: 1 ,972 Sq. Ft. of First Floor: 1 ,972
Cost of Construction: $ 10,500 Utilities: —Sewer —Septic Building Height: 8 FT
OWNER/LESSEE:
CONTRACTOR:
Name Mary Emme
Name: ROLAND WILEY
Address: 538 Paurotis LN
Company: SHORELINE ROOFING
City: FORT PIERCE State:_
Zip Code: 34982 Fax:
Phone No.
Address:1973 SW GLENDALE STREET
City: PORT ST LUCIE State: FL
Zip Code: 34987 Fax:
Phone No 772-260-9565
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-mail SHORELINEROOFING@YAHOO.COM
I State or County License CCC1331170
If value of construction is 2500 or more, a RECORDED Notice or commencement is requireu.
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
City: _
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
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 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.
Luc -ye County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
,✓,:+a 1-4-r ^r on -a++nrno" hofrwo rn►„mPnrina work nr rernrdine your Notice of Commencement.
Signature of Owner/ Lessee/Contractor A,9Agent for Owner
Signa a of Contractor/License Holder
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