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AIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division COmmefCial
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (7721 452-L578
Residential x
PERM lT APPLICATION FOR: pgpOOf
PROPOSED I M PROVEM ENT LOCATION :
Address: 5710 Travelers Way
Property Tax I D g' 341 0-503-0061-000-7 Lot No.16
Site Plan Name:Block No. B
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove shingles and renail plywood. Apply self adhering shingle underlayment. lnstall dimensional shingles.
New Electrical Meter Second Electrical Meter
CONSTRUCTION I NFORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ 6as Tank _ Gas Piping
_ Sprinklers
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof _ Pitch_ Electric _ Plumbing
Total Sq. Ft of ConstrLr6l;6n' 1900 Sq. Ft. of First Floor:
Cost of Construction: $ 8,930'00 Utilities: _ Sewer _ Septic Building Height:
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
lrl6mgJosePh Lawlor
Address: 571 0 Travelers Way
City: Ft. Pierce State:
ZiP Code: 34982 Fax:
phone 11e. 51 8-222-41 05
E-Mail:
Fill in fee simple Title Holder on next paCe ( if different
from the 0wner listed above)
Name: David Packard
Company:Packard Roofing & Waterproofing, lnc.
466rg55.2182 NW Reserve Park Trace
City: Port St. Lucie,State; FL
ZiP Code: 34986 p21a. 772-468-9978
phone 1,16772468-3723
g-1y131 I ssmith@packardroofi ng.com
State or CountY 1;gq65s CCCA17517
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
EER: x Not Appliia
Zip:_ Phone.
MORTGAGE COMpANy: x Not Applicable
FEE SIMPLE TITLE HOIDER: x Not Applicable
Name:
Zip: _ Phone:
BONDING COMPANY: x Not Applicable
owNER/coNTRAcToRAFFlDVlT:Applicationishereby,,a".o
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no representation that i:.gnltilg-qp_grmit vyill authorize the permit holder to build the subiect structurewhich is in conflict with*i.uiirre prEilard;iu,?lifJfjl'ji*'s#sffi];iffii#f,",i#t'"fl,.ildiaWaffd.I"Tf"?",t"ill,tl,llil;lwnisf,,[i.,,,%fJ&libit such
ln consid.eration-of the granting of this requested. permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Floridi Building codes ana "st. tucie Couniy nmenJments.
The following building permit applications are exe-mpt from undergoing a full concurrency review: room additions,accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uies to another non-residential use
WARNING To OWNER: Your failure to Record a Notice of commencement may result in paying twice forimprovements to your prope.rty, A Notice of commencement musi ue iecoroeo in ih;;;bli.';"jltlX.19.lt^'-tolg* property. n ruotice orao;run.;,"e";t ,;;i ffil".=o;i"i i.'iilfilfiic'llcorus or st.
_LY:,|u,!_oyntv and posted on the jobsite before the first inspection. lf you intend to obtain flninili,n. consultl)1:i"..:,y:jf lg ?_?.'^t*g?.lf:f!:[.]l:,1"_.1:_til*_i",p".iio". if Gyj;i".qtiiot;ri'#;l.Ii,"e,lt"r!iitith lender beforewlth lender or an a commenctng wor 'k or recording vour Notice of Commencempnt
STATE OF FLORIDA
COUNW OF +Lncie
Swgrn to (or affirmed) and subscribed before me oft/ Physical Presence or Online Notarization
this ?A day of tlafU- fu&t ,2020 by
Da-o,"rt ?o-r-6,7r)
Lessee/Contractor as Agent for Owner
Name of person making statement.
Personally Known / ,*produced ldentification
Type of ldentificationProduced }*r.rra
STATE OF FLORIDA
COUNTY OF 5f Ltle""e
Sworp to (or affirmed) and subscribed before me ofy' Physical Presence or_ Online Notarization
this -.ffiay or4&C4_ag_u'--[_ 2o2O by
--,,A! la.q1e,r.J
Name of person making statement.
Personally Known ,'/
Type of ldentification
Produced
OR Produced ldentification
(Signature of Notary
Commission No.
*#':ldffi:::t*.:i"j;,
Commission No._
ffi
I Jedt ]
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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