HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
91To
O
P 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:Re-Roof for SHED
PROPOSED IMPROVEMENT LOCATION: 7100 Arthurs Rd.(Lakewood Park)
Address: 7100 Arthurs. Rd Fort Pierce, FL 34951
Property Tax I D#: 1301-614-0178-000-0 Lot No.6
Site Plan Name: Block No. 164
Project Name: Welch Re-Roof SHED
DETAILED DESCRIPTION OF WORK:
tear-off shingle, install new shingle over self-adhered underlayment on a shed. 2 sqs.
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 _Windows/Doors _ Pond
Electric _ Plumbing _Sprinklers _Generator —x_Roof 2:12 Pitch
Total Sq. Ft of Construction: 200 sgft 2 sqs Sq. Ft. of First Floor:
Cost of Construction: $ 1000 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameSarah Welch Name:Jovanny Garcia Plata
Address:7100 Arthurs Rd. Company:Florida Top Shield Roofing
city: Fort Piercer_______ State: FL Address:204 S Maple St
Zip Code: 34951 Fax: NA city: Fellsmere State:FL
Phone No.772-464-7029 Zip Code: 32948 Fax: NA
E-Mail: Phone No 772-494-8564
Fill in fee simple Title Holder on next page ( if different E-Mailtopshieldroof@icloud.com
from the Owner listed above) State or County LicenseCCC1331651
If value of construction is 2500 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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: of 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:
Address: 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 ermit holder to build the subject structure
which is in qonflict with any applicable Home Owners Association rules,bylaws or an f covenants that may restrict or prohibit such
structure.Pease consult with your Home Owners Association and review your deed or 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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner essee/Contractor as Agent for Owner Signature o Conlr c. tense o er
STATE OF FLO IDA, STATE OF FLORIDA
COUNTY OF % 00_� COUNTY OF 1 ,(N 9_4\ -P�
Sw n to o )and subscribed before me of Sw rn to(or affirmed)and subscribed before me of
sical Presen or Online Notarization by 'cal Presence or Online Notarization
this ay o 202I by this day of by
of QLt j, Gard ;P IClAwk,
Name of person kaking statement. Name of person makirIg statement.
Personally Known 'K_ OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Pro ced Produced
(Si natur o N tary Public-Sta AGIG
ture of No ry Public-State o
ANALI M.V
Commission No.C`1C� �1 �` COMMISSIONANAI.IM.VI
( ea EXPIRES:Augfission No. �� ;;( l COMMISSION
Bcoed Rn Notary P :o`.; EXPIRES: t 2
!� Augur ,
Banded Pru Notm Public
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED _T
ev.