HomeMy WebLinkAboutHaug permit app (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-7-21 Permit Number:
4pD D
Building Permit Application
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: Roof Replacement
[PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S. Ocean DR. Unit 873
Property Tax ID q: 4511-510-0074-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove metal and install new metal roof.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
I
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 Roof 3/12 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 14,000 Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name I
Name: Brandon Hough
Address. W 1101 ��, ir-oa
I�r 1W13
Company:Reef Roofing LLC
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City: eVl ?Wo
Zip Code:
Phone No. 0A-4A
State:
Fax:
3 1
Address:PME1 314 3340 SE Fed Hwy
City: Stuart State: FL
Zip Code: 34997 Fax:
No321-482-2940
E-Mail: ^
LJ1AJA b0.Phone
Fill In fee sbble Title HoldePon next age ( if different
from the Owner listed above)
E-Mail reefroofingfl@gmail.com
State or County Licenseccc1327699
vuiuc o, conscruction is 25UU 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: Applicable
_Not
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.
Signature of w er/ Lessee/ContraFtor,9kXWWLQ9Own9r
Signature of Contractor/License Holder
;.Gee of Ankara )
STATE OF FLORIDA CiCy. of Ankara )ss
STATE OF FLORIDA
COUNTY OF VM);inzgy, of the United)
COUNTY OF
States of America)
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
Physical Presence or Online Notarization
this `1 Z day of ehmw4 202]Lby
this day of 2020 by
NAb Sv\ VAa Aa
Name of person making statemttpnt..
Name of person making statement.
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Personally Known �(0 P�oquc elb A,�(fication X
Personally Known OR Produced Identification
Type of Identifica io r' ) ���
Produced �� ► (�{ kiz Sal
Type of Identification
roduced
ice C(MstlI
(S ature of Not P r� Ste F, or
(Signature of Notary Public- State of Florida )
Commission No. �,'r( eal ��
Commission No. (Seal)
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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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