HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number;
hate:
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
l
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
DETAILED 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 5q. Ft.of First Floor:
Cost of Construction: $ 8602 Utilities: —Sewer —Septic Building Height:
OWNER/ SEE: CONTRACTOR:
Name ' 60 Name:
Add(ess:148 NE Braekn Rd Company:
City: Port St Lucie State:_ Address:
Zip Code: 34983 Fax: City: State:—
Phone No. Zip Code: Fax:
E-Mail: Phone No
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 valve of HAVC is$7,50o or more,a RECORDED Notice of Commencement is required.
Scanned with CamScanner
SUPPLEMENTAL CONSTRUCTION LION IAW INFORMATION:
DESEGNER/ENGINEER: L_Nat Applicable MORTGAGE COMPANY:
Nnmc: Name: _-_. _ ..
Address: Address:---
City: State:_ City:
Zip.- Phone ZIP: Phone:_ —
FEESIMPLETITLEHOLDER: I Not Applicable BONDING COMPANY: �•;.,, rp;;c;,,,;,.
Name: Na,nc: -----
Address: Address:_.._
City: City:
Zip: Phone:
OWNER/CONTRACTOR AFFIDViTi Application is hereby male to obtain a permrc to do to^ nay.n-.:,nsn'l l•,^-, ,,, ;
I ceitdy that n.o work or installation hastommenced prior to the issuance Ole permit.
St.Lucie Count)m,Aes no representation that is grantinz a permit will authorize the pe riv,lecldcr in, u ;r t r•
w't..ch ti in coy net witR any appircaRlc Home Owners Assoaatlon rules bylalvs er and covr,n nts th i ma,r t r.t r r ... h
structure.Please consult mth your Home Owmirs Association and review your deed for any rrsG'icta s h.rh m.r Ice,
In conslderatlen of the grantors of this requested permit,(do hereby agree that I will,Ina!]respects.pefftlm th•,
,n acccritance+:rh the approved plans,the Florida Btiud:ng Codes and St_Lucie County Amrndmerau.
The fol'.ewrn_;bu ld,ng permit applications are exempt from undergoing a full concurrency rrniw:rcom add,rars,
sccesaen'strucwres,svkmming poo(s,fences,walls,signs,screen rooms and accessory uses to Inc n r rvr rr,,d s a
WARNING TO OWNER:Yourfailure to Record a Notice of Commencement may result,n paying twice a
improvements to your property.A Notice of Commencement must be recorded in the public ecorx c"5t
Lucie County and posted on the jobsite before the first inspection.If you intend ,o obtain f nam,rrZ.cz-rresa
with leader or an attorney before commencing wcrk or recording your Notice of ommencemenz.
r G;/
-s'nawfe owr�ne!(Lessee(Contractcras Asentfor Ovmer SIVY ConugaIXor[Ucense Haider
&FLOSTATE OF STATE Og1�A�(. �� OUNTY 6F0J R uii;JZ
COUNTY OF 1
Sworn to(or affirmed)and subscribed before me of Snprn to lot afimned)and subscribed before ma cf
Physical Presence or Online Notarization X Physical Presence or online Nctari:atmn
INS dayof ln'T/7.•'.7d..(' .202� by yt1his,, fda{yoff� MCrrG —j .�P?3 by
v Ff t/'�/1.,2.e- I.YA�Qtfa t7l"✓�i{'d,��t'7A 4
Name of person making statement. Name of person malting statement.
Personally Known a Personally Known DkPfridqre Id•nii6<aacn
Type of Idzp[tificat;r� CASEY R ELI.IS type of Id_ntification CASEY R ELLIS
Prodvi:T UL .rtn of Florida-Notary Public Produced
Commission#HH'4St5 tale of Florida-Notary Publi
Commission#HH 49915
,. (,� i.Go Nty Commission Expiros Sept.03,2L22 { r'4"Vi F SeM;y3, 22
(S;Xnawrof Notaryl ,,P++u tt.. (Signature Notary Public, '•
Commission No. n`f`r`7IS (seal} Commission No. iSt'all
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGEI"ATION SEA TURTLE t-i%•>�^�� =
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW—
!^�_t -'•v_ __
DATE
RECEIVED
DATE
COMPLETED -- —
.ev.