HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-5-2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fart Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 6025 Alexandria circle
Property Tax ID #: 3410-503-0176-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLE ROOF
Residential x
INSTALL PEEL & STICK FL2569
INSTALL SHINGLE FL10674 INSTALL RIDGEVENT NOA19-1217.03
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 7
Block No. F
Additional work to be performed under this permit — check all that apply:
Mechanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing
Total Sq. Ft of Construction: 1,972
Cost of Construction: $ 10,500.
Generator Roof 5112
Sq. Ft. of First Floor: 1,972
Utilities: — Sewer f Septic Building Height: S FT
OWNER/LESSEE: CONTRACTOR:
Name Debra Canini Name: ROLAND WILEY
Address: fi025 Alexandria Cir Company: SHORELINE ROOFING
FT PIERCE 1973 SW GLENDALE STREET
City; State: Address:
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
Sprinklers
If value of construction is 25W or more, a REGOHOLO Notice of c:ommencemeni is requireo.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Pitch
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: Prone: zip: Phone -
OWN ER/ 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 Counttfyyl makes no representation that is granting a perm it will authorize the permit hotder to build the subject structure
stru structure. Please consult
isult with pyourr Hle Home Owners ome Owners Association aniati d reviewyyour deed s or a for any restrictions which may arestrict or pl. prohibit such
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.
I ifrie County and posted on the iobsite before the first inspection. If you intend to obtain financing, consult
-kith lender or an attorney before commencing work or recordin our NOTICe oT lrornrneFu eiiie"L.
L
Signature of owner/ Lessee/Contracgor as Agent for Owner Signature of Contractor/License Holde
STATE OF FLORIr%A] STATE OF FLORID
COUNTY OF dJt�_C'�� _ COUNTY OF
Swor to (or affirmed) and subscribed before me of Swor to (or affirmed) and subscribed before me of
Physical Pre ar Online N tarixation Physical Prese c or ❑nGne !Vo arixatian
this _.I day of 2021 by 1 _ this day of 202q by
Name of person making s to t. .a Name of person making st t ment. m n
m3 o
Personally Known OR Produced Identifi a 9 7 Personally Known ' •� OR Produced Identificab 92
Type of Identification Type of Identification m
�; a Produced x m
Produced � � � �
�, I � Q
ri �mm 2Fri
(Signature of N¢t ry'Public- State of Florida } {Signature of N t ry Public- State of Florida }
Commission No. r2_83 (Seal) Commission Now }� (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.