HomeMy WebLinkAbout608920 McGahee Perm ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number;
Aft
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 349S2
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE -ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 148 NE Bracken Rd Port St Lucie, FL 34983
Property Tax I D #: 3419-570-0053-000-3
Lot No.
Site Plan Name: Block No,
Project Name: 608920 - BARR MCGAHEE
LDETAILED DESCRIPTION OF WORK:
RE -ROOF ATLAS PROLAM HEARTHSTONE GRAY FL18305 22 SO 3/12 PITCH
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit --check all that apply:
_Mechanical _ Gas Tanis _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof 3112 Pitch
Total Sq. Ft of Construction: 2200
Cost of Construction: $ 8602
5q. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/ SEE:
CONTRACTOR:
Name '
Name:
Add(ess:148 NE Braekn Rd
Company:
City: Port St Lucie State: _
Zip Code: 34983 Fax:
Phone No.
Address:
City: State: —
Zip Code: Fax:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
If value of ron.om tinn is )4nn ocrnanrn Mc :.... _r.
a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN IAW INFORMATION:
DESIGNER/ENGINEER: `,_Not Applicable MORTGAGE COMPANY:
• � ItI Adlpi � �:.'.
Name: Name: -
Address: ---
State: City:
Zip.- Phone ZiP:
FEE SIMPLE TITLEHOLDER: =Not Applicable BONDING COMPANY: �•;., tap;lcat;,,
Name: Nano:
Address: Adrtress_.._
City: City•^_.. .___....._
j Zip: Phone: Zip: _ Phonrr;.—_...._-
OWNER/ CONTRACTOR AFFIDViTi Application is hereby male to obtain a Permit ¢n dp tr.e nar•n-.:,nsn'i r,--, ,,, ;
i cer4fy that no worker installation hastommenced prior to the Issuance of a permit.
ct Lurie Ccs.ntl males ro representation that is grantin0 a permit will authorize the pc mrt lecld cr r u ; r t
svr..ch is in cor net with any applicable Home Owners Association rules bylaws crandcovyn rr5irirra,r
structure. Please can suit mth your Home Owners +x5sociaton and review your deed for any rez ct o .s ., h rh ¢. r .- rl r
In con,ideratlen of the granting of this requested permit, 4 do hereby agree that I will, Ina!] respects. Gyf;lm I!,,
,n acccrdznce+:rh the approved plans, the Florida 6uiid:ng Codes and St_ Lucie County Am endmeri:.
The foI'.cwm_, bu ldmg permit applications are exempt from undergoing a full concurrency rrniw: rcom
accessory $tructares, $vkmming pools, fences, walls, signs, screen rooms and accessory uses to another rcn. tars „den;ra' ot•
WARNING TO OWNER: Yourfailure.to Record a Notice of Commencement may result in paying twice fa•
improvements to your property. A Notice of Commencement must be recorded in the public records o` St
Lucie County and posted on the jobsite before the Cirst inspection. If you intend to obtain financing. ccncsa
with feeder or an attorney before commencing work or recording your Notice of Qommencemert.
Agent for Ov+rter
STATE OE-FLO DA
COUNTY OF�,r.J4.e�
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this mot' dayof 111/7,= .2021 by
Na me of persOri making statement
STATE OF FLO A
COUNTY OF • G,tt-1 i1
Sworn to (or efi,rmed) and subscribed before me cf
X Physical Presence or Online Nctan:atmn
I _ day of MCrrl. — '49?a by
{ — ➢ t
Name of person malting statement.
Personally Known a +P
of Id t_ificado� CASEY R ELUS
t% state of Florida - Notary Public
{{,Cmmission ii HH'A°915Lav A my Oommisston Expires Sept. 01, 2L22
type of Id_nti8eat(on
Personally Known /1_ a=Florida
Produced
{ ,4 "�Vi :`
IType
ELLISPr000cedE,
Notary Publ
# HH 499"15
j5ignawr Notary Pu ..
(signature rNotary Public9,
Commission NO. n`fYWIS (seal}
Commission No.
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REVIEW_ L' -'•: _ __,
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