HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r 2 Permit Number:
UTICIR ,
I : , - 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:Reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 15 Majestic Way
Property Tax ID#: 1414-701-0171-000-5 Lot No.C
Site Plan Name: 5` c c ti> t i-�Q Block No. 18
Project Name: �Av"Q_! `°/?fke- a
DETAILED DESCRI PTION,OF WORK;
Remove existing root system down to decking , renail to code,install hi temp underlayrnent
Install 1"snaplock root system to code
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 J Windows/Doors _Pond
—Electric —Plumbing —Sprinklers _Generator 7�Roof 6/12 Pitch
Total Sq. Ft of Construction:� L477 � Sq. Ft. of First Floor: L D
7 "t`�.1 -
Cost of Construction:$ IT a - l Utilities: _Sewer _Septic Building Height: 1 `-�
OWNER/LESSEE; CONTRACTOR:
Name' 74t,I e''5 a \,.r Y1-4W e -IT-1 Name:Richard Golletti
Address:15 Majestic Way Company:Leakbusters Root Repair
City: Fort Pierce FL State: Address:6101 Buchanan Drive
Zip Code: 34949 Fax: City: Fort Pierce State:FL
Phone No. q 54-2.-1 q~`f a 5--3 Zip Code: 34982 Fax:
E-Mail: vc �. ne - C7 1 Phone No 7723328450
Fill in fee simple Title Haider on next page(if different E-Mail richiecolietti@gmail.com
from the Owner listed above) State or County License 29763
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.
SUPPLEMENTAL CONSTRUCTION L(EN LAW INFC}RMATIC.N.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: w o—A --
Address: Address:
City: State: City: State
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: — t 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 1 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 T-amaittorne before commencing work or recording our Notice of Commencement.
Sign wne O Lessee/Contractor as Agent for Owner Signature of ContractoF1Licerise Hal e
ST E`OF FLORID s STATE OF FLORIDA i
, NTY OF c1 COUNTY OF ! 1
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization �h sical Prese a or fine Notarization
this�day of 2020 by this day of 2020 by
j
-, f +t
Name of person making s ateme t. Name bf person making statement.
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of identification Type of Identification
Produced Produced
ure of ry Public $tatir+_I6hid"'4MISS10N#GG165030 (Sig ature of Notar Pu Stag of FlbridaiY rKATHERiNE HAVENS
"XFIRES:DEC Oa,2021 4,°'�'fSSIDN#G
S G165Q3 E
cnt( Commission No. 'r' �` ORES: 027
Commission No. ! b 9h 1 st Slate Insurance DECDEG 04 I
bonded thro,gh 1stS r
tate fasur�ncE s
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW RBAEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20