HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ Permit Number:
LIUC I L
t: AWVBuilding 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: reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 5708 Pinetree Dr, Fort Pierce
Property Tax ID#: 3402-603-0106-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Myer- 5708 Pinetree Dr
IF DETAILED DESCRIPTION OF WORK:
Remove existing roof material to deck, renail to code. Install SA underlayment& 5v metal roof.
New Electrical Meter _ Second Electrical Meter —__
�ONSTRUCTiON INFORMATION•
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank --Gas Piping _Shutters _Win ws/Doors _ Pond
11
Electric Plumbing _Sprinklers _Generator Roof 5 Pitch
Total Sq. Ft of Construction: 3200 _ Sq. Ft. of First Floor:
Cost of Construction: $ 17400 Utilities: -Sewer _Septic Building Height: 10'
OWNER/LESSEE: — CONTRACTOR:
Name Gerald L&John S Myer _ Name:Douglas E. Roe
Address:5708 Pinetree Dr Company:Code Red Roofers, Inc
City: Fort Pierce State: r L Address:3341 SE Slater St
Zip Code: 34982 Fax: _ City: Stuart State:FL
Phone No.
772-530-1700 Zip Code: 34997 Fax:
E-Mail: _ Phone No 772-287-2829
Fill in fee simple Title Holder on next page ( if different E-Mail Permits@coderedroofers.com
from the Owner listed above)
State or County License CCC1326574
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.
� 1Pi I MI TALyCONS"RUCTION LIEN LAW INFORMATIQN
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF J4,-4 i COUNTY OF J)JriV-f-r�7
SwY to(or affirmed)and subscribed before me of SV/nto(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this l-( day of 1)00rCki 12020 by this day of r-YJjarLV) ,202# by
D0c) 1�� ���� I�nv�;y .) c Jzc�
Name of person making statement. Name of person m' in9 tatement.
Personally Known OR Produced Identification Personally Known ✓/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sign ure of N9&ry Public-State OF04rida ) DAYNAJ.R (Sign ure of N ary Public-S t f Flor a
=o;•••.,% t�AYNAJ.REGIS
Commission#HH 05332 ?o;...,,Z,
Commission No. �e*piresoctober14,202 , * Co ��n#HH053320
Commission No. ExS"0'ctober 14,2024
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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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