HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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
Project Name: Hendrickson Re-Roof
DETAILED DESCRIPTION OF WORK:
Re-Roof Shingle
Underlayment - Rhino C
Replace Rifge Vents
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers _Generator X Roof 5/12 Pitch
Total Sq. Ft of Construction: 5178 Sq. Ft.of First Floor:
Cost of Construction: $ 25,825 Utilities: —Sewer —Septic Building Height: 20'
OWNERAESSEE; CONTRACTOR:
Name Kevin Hendrickson Name: Robert Donovan
Address: 8280 Hiddpn Company: Total Home Roofing
city: Fort Pierce state: FL Address: 597 Haverty Court, suite 40
Zip Code: 34945 Fax: City: Rockledge State: F
Phone No. 772-461-0558 Zip Code: 32955 Fax:
E-Mail: Phone No 321-452-9223
Fill in fee simple Title Holder on next page(if different E-Mail Christa@throofing.com
from the owner listed above) State or County License CCC1330489
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value 0f HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
❑ESIGNFRANGINEER: 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:
Add rAss: 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,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 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 NOVICE OF COMMENCEMENT_"
Signature of Qw essee/Contractor as Agent for Owner Signature of Ca r or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Pafm RP2ph COUNTY OF Palm Beach
The#i�going instrumen w s acknowledged before me The fgpi g instrument was acknowledged before me
this r ,'!" day of 20ZL by this !(t r day of �P S� 20 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
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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