HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/23/2021 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: -�
Re-roofing asphalt shingles
PROPOSED IMPROVEMENT LOCATION:
Address: 6803 Wadsworth Terrace, Port Saint Lucie, FL 34952
Property Tax ID#: 3415-705-0035-000-1 _ Lot No.34
Site Plan Name: OLEANDER PINES BLK 1 LOT 34 (0.26 AC) (OR 3667-2166) _ Block No. 1
Project Name: Pohorence Re-Roof
DETAILED DESCRIPTION-OF WORK: _
Remove existing roof system down to the decking. Install/mechanically fasten self-adhered membrane.
Install shingle roof. Install new skylight.
New Electrical Meter Second Electrical Meter
—CONSTRUCTION INFORMATION:
INFORMATION:
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 X, Roof 5/12 Pitch
Total Sq. Ft of Construction: 3,273 Sq. Ft. of First Floor:
Cost of Construction: $ 14,175 Utilities: —Sewer _Septic Building Height: 1 Story
DOWNER/LESSEE: -------^ _ --- CONTRACTOR -----------��------
Name Robert A Poherence Name:Jason Morar
Address:6803 Wadsworth Terrace Company:Southern Roof Systems, Inc
City: Port Saint Lucie State: Address:2685 SW Doming Rd
Zip Code: 34952 Fax: City: Port Saint Lucie State:FL
Phone No. 772-236-9764 _ Zip Code: 34953 Fax:
E-Mail:N/A Phone No 772-324-9613
Fill in fee simple Title Holder on next page (if different E-Mailjason@southernroofsystems.com
from the Owner listed above) State or County License CCC1332470
L
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,S00 or more,a RECORDED Notice of Commencement is required.
+� ATtON,
77
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 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 bef re commencing work or rerprding your Notice of Commencement.
4 AA-A
. AW //9
Signatute of O ner/Lessee/Contractor as Agent for Owner Signatur of Contractor License Holder
STATE OF FLO I A STATE OF FLORIDA
COUNTY OFF � . L V c.- t, COUNTY OF 54- L v C .e—
Sworn to(or affirmed)and subscribed before me of Swof n to(or affirmed)and subscribed before me of
—_--Physical Presence or Online Notarization __17 Physical Presence or Online Notarization
this 3 day of IYl�I[ 1.2024 by this Z 3 day of 2024 by
Name of person making statement. Name of person making state ent.
Personally Known,V OR Produced Identification Personally Known OR Produced Identification
Type of Identifi tign Type of Identific ti
ed 1 �p �q Produced
(Signature of Notary Public-State of Florid (Signature of Notary Public
0V Notary P i tale of Florida Wd;
Notary Public State of FkxWa
Commission No. Darlyne�anero Commission No. D )AAontanero
GMy CommissionGG 191669 MY Commission GG 191e69
Ex ires 03/01/2022 Expires 03/01/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.