HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
2/26/2021 Permit Number:,9�71
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Building Permit Application
Planning and Development Services
Building and Code Regulation IDivision Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax': (772)462-1578
PERMIT APPLICATION, FOR: Metal Re-Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5908 Bamboo Dr, Fort Pierce, FL 34982
Property Tax ID#: 3402-610-0499-000-0 Lot No.3
Site Plan Name: Ronald Siegal Block No. 87 i
Project Name: Ronald Siegal
DETAILED DESCRIPTION OF WORK:
Remove existing roofing material,repair/re-nail decking,install seam tape,install synthetic underlayment,and install new Premier 5V Crimp metal roofing system.
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
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_Electric _Plumbing _Sprinklers _Generator Roof 5/12 Pitch
Total Sq. Ft of Construction: 2430 Sq. Ft. of First Floor:
Cost of Construction:$ 13,000.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ronald S Siegal Name:Troy Glowth
Address:5908 Bamboo Dr Company:Advanced Metal Roofing, Inc.D/B/A Brilliant Roofing
City: Fort Pierce State:E, Address:4149 SE Salerno Road
Zip Code: 34982 Fax:N/A City: Stuart State:FL
Phone No.772)460-2248 Zip Code: 34997 Fax: N/A
E-Mail:N/A- Phone No 772-678-6654
Fill in fee simple Title Holder on next page(if different E-Mail Mail@brilliantroofing.com
from the Owner listed above) State or County License CCC1327906
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable,
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 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 ail 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 O ner/Lessee/Contractor as Agent for Owner Signature of Contrac r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Maru-
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 26th day of February 2020 by this 2eth day of February ,2020 by
Troy Glowth Troy Glowth
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
—M M A)— I t 57��— — — — — — — — — -
(Signatu e f Notary Public-State of Florida) (Signatu e o Notary Public tag{'qf-Florida)MEGAN LAWRENCE
Y, ,y..•, Notary Public-State of Florida
Commission No. HH 90458 .';AY a;Seal) MEGAN LAWRENCE Co fission No. HH 90458 �� € �Z�I ston:HH 90458
Notary Public State of lorida oc :' My comm.ixores Apr 24,2025
1tif=� Commission=HH 90 58 5onced through National Notary Assn.
M Comm.Expires Apr 24,2025
REVIEWS FRONT IpAorcect r�yi fy of ry+ S VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW— W REVIEW REVIEW REVIEW
DATE
RECEIVED
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