HomeMy WebLinkAboutBuilding Permit Application I
All APPLICABLE INFO MUST,BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/25/2021 Permit Number: I®� ' V ls 'I
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Building Permit Application
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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: Metal Re-Roof
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PROPOSED IMPROVEMENT LOCATION:
Address: 3112 Sunrise Blvd, Fort Pierce, FL 34982
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Property Tax ID#: 2428-601-0069-600-6 Lot No.6&9 .
Site Plan Name: Michelle Hall Block No. B
Project Name: Michelle Hall
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DETAILED DESCRIPTIOWOF WORK:
Remove existing roofing material,repair/re-nail decking,install seam tape,install synthetic underlaymeht,install new Premier' I metal roofing system.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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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 Roof
Pitch
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Total Sq. Ft of Construction: 1600 Sq. Ft. of First Floor:
Cost of Construction:$ 8,225.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: „ CONTRACTOR:
s Michelle Hall Troy Glowth
Name Name: y
Address:3112 Sunrise"Blvd' "Com an y`Advahced-MetalRoofing, Inc. D/B/A Brilliant Roofing
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City: Fort Pierce State: L.. Address:4149 SE Salerno Road
1 34982 NIA Stuart FL
Zip Code: Fax: Cityc •� State:
Phone No.N/A -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 Maii@brilliantroofing.com
from the Owner listed above) State or County License CCC1327906
If value of construction is 2500idr 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: _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:
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 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.
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Signature of O ner/Lessee/Contractor as Agent for Owner Signature of Contractor/Lice a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Mahn
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 25 day of February 2020 by this 25 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
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(Signatu e f Notary Public-State of Florida) (Signatu.e o Notary Public-Stat off. )Notary Public-State of Fl ri
z.a" Commission 4 HH 9041 8
Commission No. HH so45a :;s►" {Seal MEGAN LAWRENCE ro mission No. HH so45e ' o r+� (S�Jlgomm.Expires Apr 24,2 5
? K�� Notary Public State of Flo ' a Bonded through National Notary A
Its ao`; Commission A HH 9045
3or•cec tf rough National Nota Assn.
REVIEWS FRONT NS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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