HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit Application
Planning anti Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Re -Roof Shingle
PROPOSED IMPROVEMENT LOCATION. -
Address: 8280 Hidden Pines Rd
Property Tax lD #: 2323-701-0004-000-8 Lot No. 4
Site Plan Name: Block No. A
Proiect Name: Hendrickson Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -Roof Shingle
Underlayment - Rhino C
Replace Ri e Vents
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
_ Electric
Total Sq. Ft of Construction:
Gas Tank
Plumbing
5178
Cost of Construction: $ 25,825
Gas Piping _ Shutters
Sprinklers _ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Windows/Doors
X Roof 5/12 Pitch
Building Height: 20'
OWNER/LESSEE:
CONTRACTOR:
Name Kevin Hendrickson
Address: 8280 Hidden
Name: Robert Donovan
Company: Total Home Roofing
city: Fort Pierce state: FL
Zip Code: 34945 Fax:
Phone No. 772-461-0558
Address: 597 Haverty Court, suite 40
City: Rockledge State: F
Zip Code: 32955 Fax:
Phone No 321-452-9223
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
F-Mail Christa@throofing.com
State or County License CCC1330489
IT value OT construction is :>zsvu or more, a KILCURDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
❑ESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone zip. Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
ACldrpss: 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, 1 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 roams and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY_ A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_"
Signature of Own r essee/Contractor as Agent for Owner Signature of Co r ❑r/l_icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF P,91M Reach COUNTY OF
The forgoing instrumen w s acknowledged before me The forggi instrument was acknowledged before me
this day of Z0� by this � day of __ �� S� Zp by
Robert Donovan Robert Donovan
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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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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DATE
COMPLETED