HomeMy WebLinkAboutREROOF APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Budding Permit Application
Planning and Development Services Building and Code Regulation Division Commercial Residential4c
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 452-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5203 MANTANZAS AVE FORT PIERCE FL 34046
Property Tax ID #: 1431 701-0051-"-1
Site Plan Name: RE -ROOF BERNICE
Project Flame: RE -ROOF BERNICE
DETAILED DESCRIPTION OF WORK:
RE -ROOF SHINGLE "LIRE FOR LIKE"
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
Electric ^ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7000
— Sprinklers
windows}Doors
Generator ImVV Roof _____
Sq. Ft. of First Floor:
Lot No.11
Block No. E
Utilities: _Sewer —Septic Building Height:
.:
Pitch
OWNER/LESSEE:
CONTRACTOR:.
Name BERNICE CLARK
Name-REGINALD REED
Address:5203 MATANZAS AVE
Company: EFFICIENT HOME SERVICES OF FLORIDA
City: FORT PIERCE State: _
Zip Code: 34946 Fax:
Phone No. (772) 321 2713
Address:9416 INTERNATIONAL CT N
City: ST PETERSBURG State: FL
zip Code: 33716 Fax:
Phone No844-778-8810
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the owner lister! above)
E-MailPERMITTING@EHSFLCOM
State or County LicenseCCG133253$
If value of construction is 25W or more,
�^a�RECORDED Notice of Commencement is requires_
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAB INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable FAddress:
GAGE COMPANY: Not Applicable
Name: :
Address: City: State: 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 gran#ing 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
. —.4, ,,.- --reline vni tr hintice.of Commencement.
WIL11 ICiIUCI Ul Q11 ClLtUl1ltqy W=IWIe
iSiggnatureof
Signature of Owner/ Lessee/Contractor as Agent for Owner
C tractor/License Holder
STATE OF FLORID)p
STATE OF FLORIDA�,�p
COUNTY OF �-- �C ,
COUNTYOF and c(,,ol
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
%Physical Presence or Onffne Notarization
ZC sicaf Presence or OnUne Notarfzatfon
P
this � d Of JANUARY 2024 by
thls day of JANUARY 202# by
Name of person making statement.
Name of perso aking statement.
OR Produced Identification's
Personally Known OR Produced identification
Personally Known
Type of identification
Type of identification
Produced
0 0 0 1
Produced
Si ature of Notary Publi,
ignature of Notary Public- a e P
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ZONING
SUPERVISOR
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MANGROVE
COUNTER
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