HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-3-2021 Permit Number:
CO
BuildingPe
Application
Permit
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: RE ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 5918 FOXTAIL WAY
Property Tax ►D#: 3410-503-0249-000-9 Lot No.8
l
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLE ROOF
INSTALL PEEL& STICK FL2569
INSTALL SHINGLES FL10674 INSTALL OFF RIDGE VENTS FL16918
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
_Electric _Plumbing _Sprinklers _Generator X Roof 5/12 Pitch
Total Sq. Ft of Construction: 1,972 Sq. Ft. of First Floor: 1,972
Cost of Construction: $ 11 ,100 Utilities: —Sewer _Septic Building Height: 8 FT
OWNER/LESSEE: CONTRACTOR:
Name Mary Lewis Name: ROLAND WILEY
Address:5918 Foxtail WAY Company: SHORELINE ROOFING
FORT PIERCE State: 1 Address: SW GLENDALE STREET
City:Zip Code: 34982 Fax: City: PORT ST LUCIE State: FL
Phone No. Zip Code: 34987 Fax:
E-Mail: Phone No 772-260-9565
Fill in fee simple Title Holder on next page(if different E-Mail SHORELINEROOFING@YAHOO.COM
from the Owner listed above) State or County License CCC1331170
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 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.
1
;iggnature of Owner/Lessee/Contracf dr as Agent for Owner Signature of Contractor/License Holde
STATE OF FLORI l STATE OF FLORI
COUNTY OF �r -!sic_Q) COUNTY 01: 1-s-
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Name of person making sptemeht. o _ Name of person making st ment.
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Commission No f `I (Seal) `D Commission No. 66
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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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