HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3l221
LUcLL
i J.
a
Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Corn r n e r C I a 1
2300 Vilginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
[PERMIT APPLICATION FOR: RE R 0 OFPROPOSED IMPROVEMENT 1ENT LOCATION: 6389 CHASKA STREET, FT. PIERCE FL 3498
Address. 6389 C HASKA STREET, FT- PIERCE FL 34982
Property Tax I D #: 3409-703-0041=0D4-1
Site Plan Name: JAMES SMITH
Project Name. REROOF —
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING ROOFS WITH NEW METAL AND FLAT ROOF
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION -
Lot No.21
Block No- 4
Additional work to be performed under this permit - check MI that apply,
—Mechanical —GaS Tank — Gas Piping _ Shutters — Windows/Doors Pond
Electric — Plumbing _Sprinklers
Total Sq. Ft of Construction: 1,938
Cv5t of Construction: S 11,500
Generator Roof 4112 Pitch
Sq. Ft, of First Floor:
Utilities: _ Sewer : Septic Building Height: —_—
OWN ER/LESSEE:
Name JAMES SMITH
Address.6389 OHASKA STREET
city- FORT PIERCE state_ —
Zip Cade: 34982 Fax;
Phone No.772-464-0989
E-Mail:
Fill in fee Simple Title Holder on next page (if different
frorinthe OwnerIisted above)
CONTRACTOR:
dame=LEE DINENBER
Company, F€ EEDOM RpK)FEIRS
Addre55:5575 US HY 1, SUITES 1 & 2
City: VERO BEACH State:FL
Zip Code: 32%7 Fax. T72-217-4459
Phone No772-31B-460O
E-Mail greatroofsCtreedomroofers. om
State or County Lice nse CCC 1330900
if value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required.
If value of HAVC is $7,500 or more, 9 RECORDED Notice 0f Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION*
DESIGNER/ENGINEER:Not Applicable MORTGAGE COMPANY'
Name
Address:
City: State:
Zip: Phone
FEE SIMPLI: TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip. _ Phone:
x Nat Applicable
Name;
Address:
City: State.
Zip: Phone.
BONDING COMPANY:
Name-,
Address:
City:
Zip: Phone:
,Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as Indicted.
I r_ertify that no work or installation has commenced prior to the issuance of a permit -
St. Lucie County makes no repn?senttion that is granting permit will authorize the ermit holder to build the subject structure
which is in Conflict with any applicable Home Owners Association rules, bylaws cr a, covenants that may restrict or prohibit such
structure. Please Consult th your Home Owners Association and review your deed or any restrictions which may apply -
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in �iCcordante with the approved plans, the Florida Building Codes and St- Lucie County Amerodments.
The Following building permit applications are exempt from undergoing a full concurrency review_ room additions,
accessory structures, swimming p0015, fences, walls, signs, screen room$ and accessory uses to another non-residential use
WARNING, TO OWNER: Your failure to Record a Notioe of Commencernent may result in payirig twice far
improvements to your property. A Notice of Comrinencement must be recorded in the public records of St -
Lucie County and posted on the jobsite before the first i nspection. If you intend to obtain financing, consult
with Ienderar an attorney before commencing work or recording you,.6Notice of Corn mencement.
Owner/ 1-ssee/Contractor as Agent for Owner I Signatur Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF DIVER COUNTY OF wauuaRn.sfl
Sworn to {or affirmed} aril subscribed before me of
x Physical Presence or Online Notarization
this 22 day of Wmcm . 2020 by
LEE WdENgERG,
Name of person making statemert-
Personally Known x OR Produced Identification
Type of Identification
(Signature of Notary Public -
Commission No- 11F' 90w
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RECEIVED
DATE
COMPLETED
—AN N£TTE iACfi M
UM of Florida
an IFM15d930
w . v nrn Feb 73, w 5
-'. anal !Y AL
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 22 day of Wfcm 2020 by
LEE MENBERG
Name of person making statement -
Personally Known 7, OR Produced Identification
Type of Identification
Produced
f(Signature of Notary Public- 5t
ornmission No. -16B
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