HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FAR APPLICATION TO BE ACCEPTED
Date : 03/02/2021 Permit Number:
. 0
Bui � dr Perm tAppica "It
. n� i on
Planning and Development Services
Building and Cede Regulation Division Commercia l Residential XXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : (772 ) 462- 1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR : REROOFRIM NINE=
.
Address: 108 CAMELOT DRIVE , FART PIERCE, FL 34947
Property Tax I D #: 1432-801 -0035-0003 Lot No. 32
Site Plan Name: CIA Block No.
Project Name : NIA
REMOVE AND REPLACE THE SHINGLES AND THE FLAT ROOF MATERIALS. REPLACE WITH 5V CRIMP METAL
ROOF SYSTEM , PEEL AND STICK UNI]ERLAYMENT.
New Electrical Meter N/A Second Electrical MeterNJA
Additional work to be performed under this permit — check all that appl
�Mechanical GasTank _ Gas Piping � Shutters OIVInCID1NS/DoO!"5 Pond
E l ectri c Plumbing ` Sprinklers _ Generator Roof itch
r
Y
Total Sq . Ft of Construction , Z534 Sq. Ft. of first floor: 1 ,962
Cost of Construction: $ 16, 873.00 Utilities: � Sewer _ Se pti c Building Height:
Name SHIRLEY PATRICK fVame: LLOYD CONSTANT
Address : � d8 CAMELOT DRIVE Company: ANDROS CONSTRUCTION
City: FORT PIERCE State : Address: 2706 ATLANTIC AVENUE
zip Code: 34947 Fax: rIty: FORT PIERGE state :
Phone No. �72-529-70�8 . .. �--.-.-- Zip Cody : 34947 Fax :
E-Mail : Phone Nv772'475-4915
Fill in fey simple Title Holder on next pale 4 if different E-IVfai { ►°►NDROSCONSTRUCTION@GMAIL.CDM
from the Owner fisted above} State or County License CCC 1327225
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
1f value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required .
DESIGNER/ENGI NEER: Not Applicable GAGE COMPANY: Not Applicable
Name: Name :
Address : Address :
City : e : City : fate:
zip : Phone Zi p : Phone :
FEE SIMPLE TITLE HO Not"Applicable BONDING COMPANY: ,,,,.Not Applicable
Name : Name:
Address: Address:
City: City:
Zi Phone : Zi p: Phone :
OWNER/ CONTRACTOR AFFIDVIT141 Application is hereby ma e to obtain a permit to do the work and installation as indicated.
l certify that no work or installation has commenced prior to the issuance of a permit.
St. Luce Count y 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 Horne 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 aspects, 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
� mpravements 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 inspectio If you intend to obtain financing, consult
with I p-ndgr or are a orne before commencing-work or reco�-diyour Not*Ic f Commencement.
I I ir I'oe C
Sr
gnatur f d6ffer/ Vssee/Con actor as Agent for Owner Sign e C tractor/Licens Holder
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STAT OF FLORID STATE OF FLORIDA
COUNTY OF C 4 COUNTY OF
S n to {or affirmed) and subscribed before me of n to (or affirmed} and subscribed before me of
P sical Pr n e or D line Notarization P sisal Pt' r Onfi e Notarization
t is day n this ay of � ��8 b y •.
Name of person making statement. Name of person making statement,
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type f1dentificadon Type of Identification
Pr used Pro uc
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(Sign'atu're of Notar ,f�.( Signature of Notar
DEMi-At30fiF+E *A" FIEBORA� a170Gi�E
Notary Public • S of F rids �+�; "`� �. �ctay �,blfe • Stat
Commission No. � ' M � mr::tan � ► �� Commission No. ��� • � .�►tsstona �►�rar
My COMM, Exp4rN J'iA 14, 2023 •,�; . �n�COMM-
n o�n�ono�not ngia' 2025
."....• �ann�d tl�14ul1� N4lian�! H4pN/usn. �E Ff'Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATA
RECEIVED •
DATA
COMPLETED
Rev, 5/6/20