HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/15/2021 Permit Number:
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:
PROPOSED IMPROVEMENT LOCATION:
Address. 6306 Deleon AVE:Fort Pierce, FL 34951
Property Tax ID#: 1301-612-0001-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK;.
Remove existing shingle roof to deck Renail deck with a 8D ringshank nail and install a peel and stick over entire roof
Install an Integrity Metals b'zk roof system -, � OC � , i✓ ��Z. Soprema HT TU Peel&Stick FL 2569-R21
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters Wi doves/Doors _Pond
Electric _Plumbing —Sprinklers _Generator Roof 5112 Pitch
Total Sq. Ft of Construction: 3000 Sq. Ft. of First Floor:
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Cost of Construction: $ 18760 Utilities: —Sewer —Septic Building Height: 15
OWNER/LESSEE: CONTRACTOR:
Name Leslie L Blackwell Name:Richard Newland
Address:6306 Deleon Ave Company:Richie the Roofer
City: Fort Pierce FL State:_ Address:905 13th st sw
Zip Code: 3A951 Fax: City: Vero Beach State:FL
Phone No,772-359-9306 Zip Code: 32962 Fax:
E-Mail: Phone No 1 �o
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
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.
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: 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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded 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.
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agna re o Lessee/Contractor as Agent for Owner tune of Contractor/License Holder
STATE Of FLORIDA STATE OF FLD
COUNTY OF r, COUNTY OF C_�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of [ .2C�4- by 1day of /—)-,)ct'=C.r,203 4 by
son making statement Name of person making statement
ersonally Known OR Produced Identification Personally Known �R Produced Identification
Type o Ecat' Type of Identification
ro uce Produced
ignature - ,PURIPIMPAfNe1r ND (Signature of Notary Public-
=': 'z MY COMMISSION#0GD$9907 Niwfy PL410i@ Mate of Ficrida
0 Commissio EXPIR April00M Commission No. �
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
[SATE
RECEIVED
DATE
COMPLETED
f Rev.8/2/17