HomeMy WebLinkAboutpermit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _— Permit Number:
LLLIC ULt
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: reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 1402 Bradley St, Fort Pierce FL 34982 —
Property Tax ID#: 3402-608-0213-000-5 — —_ Lot No. _
Site Plan Name: Block No.
Project Name: Bush - 1402 Bradley St --
FDETAILED�DESC�RIPTION OF WORK:
Remove existing roof material to deck-, renail to code. Install SA underlayment, shingles, & ridgevent.
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
JElectric _Plumbing —Sprinklers —Generator Roof 2 Pitch
Total Sq. Ft of Construction: 1700 — Sq. Ft. of First Floor:
Cost of Construction: $ 9100 Utilities: —Sewer —Septic Building Height: y'� —
pWNER/LESSEE; CONTRACTOR:
Name LeonBush Name:Douglas E. Roe
_ — —Address:— —
1402 Bradley St Company:Code Red Roofers, Inc
---City: —
Fort Pierce State:_— Address:3341 SE Slater St
_ ----
Zip Code: 34982 Fax:--- City: Stuart State:FL
Phone No.7726722838 Zip Code: 34997 Fax:
Phone No 772-287-2829
E-Mail:n/a —
Fill in fee simple Title Holder on next page ( if different E-Mail Permits@coderedroofers.com
from the Owner listed above)
State or County License CCC1326574
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.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY:„ X_ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 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 FLORIDA STATE OF FLORIDA
COUNTY OF yyua--�"" COUNTY OF 1k16✓�r i7
Swor to(or affirmed)and subscribed before me of S, g to(or affirmed) and subscribed before me of
Physical Presence or Online Notarization e Physical Presence or Online Notarization
this 2G day of 1 VOrtli1 — 202$ by this 2(o day of ✓ V.4i e %. ,202$ by
Name of person aking s tement. Name of person making st ement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sig ure of N ary Pu lic-State of Prorida) (Signature f Notary Public-State ida )
2o�N`;P•�B�o DAYNA J.REGIS
Commission No. (S%Y�AJ•REGIS Commission No. Cortunissit46kpl�053320
* Commisswa t;HH 053320 Expires October 14,2024
Expires October 14,2024 of
Fo pro BonCMTtru I kido Notary SWAM
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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