HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
t2 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-roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6800 Dickinson TER Port St Lucie, FL 34952
Property Tax ID#: 3415-706-0046-000-4 _ Lot No.4
Site Plan Name: Earley Block No. 3
Project Name: Earley
FDETA DESCRIPTION OF WORK:
Remove and replace roof cover
Re- nail roof deck to meet code /install new peel&stick underlayment-tri-built
Install new metal roof /5v/26 gauge/mill finish
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 _Windows/Doors —Pond
_Electric _Plumbing _Sprinklers _Generator - Roof 5/12 Pitch
Total Sq. Ft of Construction: 4475 Sq. Ft. of First Floor: 4475
Cost of Construction: $ 18,200 Utilities: —Sewer _Septic Building Height: 14'
OWNER/LESSEE: CONTRACTOR:
Name Gerald Earley Name: Mauricio Orellana
Address:6800 Dickinson TERR Company: One Construction & Roofing contractors
City:
Port Saint Lucie State:_ Address: 2766 sw Edgarce st
Zip Code: 34952 Fax: N/A City: Port Saint Lucie State: FI
Phone No.772-894-0036 Zip Code: 34953 Fax: N/A
E-Mail: N/A Phone No 772-240-9497
Fill in fee simple Title Holder on next page(if different E-Mail oneconstructionservices@yahoo.com
from the Owner listed above) State or County License CCC-1330623
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: P h-pife Zip: Phone:
FEE SIMPLE T HOLDER: _Not Applicable BOND G COMPANY: Not Applicable
Name: N e:
Addre ddresS:
Cit City:
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 FLORID _ STATE OF FLORIDA �
COUNTY OF ,b 1 , L=— COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
--rhys al Presence or Online Notarization ysical Presence or Online Notarization
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Name of person making statement. Name of person making statement,
Personally Known 1---�^OR Produced Identification Personally Known OR Produced Identification
Type of Identification e of Identification
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