HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMITTYPE: Re -Roof Metal
PROPOSED IMPROVEMENT LOCATION:
Address: 14171 Cisne Circle
Property Tax ID #: 1306-500-0145-000-5 Lot No. 1
Site Plan name: Block No. 49
Project Name: Tetreault Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -Roof Metal
Underla meat - TU Plus
o CAS oLx
CONSTRUCTION INFORMATION: I
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: 3075
Cost of Construction: $ 18,400
Generator
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Windows/Doors
X Roof 6/12 Pitch
Building Height: 20'
OWNER/LESSEE:
CONTRACTOR:
Name Sharon Tetreault
Name: Robert Donovan
Address: 14171 Gisne Circle
Company: Total Home Roofing
Address: 597 Haverty Court, Suite 40
city. Fort Pierce state: FL
Zip code: 34951 Fax:
Phone No. 772-465-5673
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)
E-Mail Christa(Pthroofing.com
State or County License CCC1330489
if value of construction is $2500 or more, a RECORDED 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:
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zi p: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madeto 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.
5t_ 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 accessary 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 JOS 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 Ow r essee/Contractor as Agent for Owner
Signature of Co r or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF Palm Beach
The for mg instrume was acknowledged before me
The forgoing instrument was acknowledged before me
b 2DZ, by
this 25rday of 20,a by
this day of
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
^`ti•,
{Signature of Notary Public-S e of_Florid .Egy �34&83
{Signature of !Votary pu lic- 5ta of `oodF tiskv
. GG93 � A R� S51oN# o,�z° ��`
Commission Na': �C $,�2y1. ��'V=
GGOQ883,: tq�ca �5 202A,
C ommission No. _.
Ste, RfLSfluii'
1- : :Q .��t10°�ry���s
REVIEWS
FRDNT)�'
ZONING
SUPERVISOR
PLANS
VEGFTATIOW—
"'SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COM PLETED
Rev. 2/1/19