HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O �
Date: Permit Number:
2 ' ba
RECEIVED
MAR 3 0 2021
Permitting Department
Building Permit Application St. Lucie County
Planning and Development Services
Building and Code Regulation Division Commercial Residential y
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED-IMPROVEMENT LOCATION:
Address: 2604 Newport Dr
Property Tax ID#: 2421-609-0011-000-8 Lot No.3
Site Plan Name: Block No. 7
Project Name:
DETAILED DESCRIPTION OF°WORK: .
2
dftr Wfkl s IJ
-�-c�
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 Pitch
Total Sq. Ft of Construction: r Sq. Ft. of First Floor:
Cost of Construction:$ �Z / Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR:
NameCarol Ann Blad Name:Calvin Lars Christensen
Address:2604 Newport Dr Company:Roof Doctors LLC
City: Fort Pierce State:_ Address:884 NE Pop Tilton
Zip Code: Fax: City: Jensen Beach State:FL
Phone No.-7:1 Z (a2 1 Qa�b Zip Code: 34957 Fax:
E-Mail: Phone N0800-339-7326
Fill in fee simple Title Holder on next page(if different E-Mail roofdoctorsfl@gmaii.com
from the Owner listed above) State or County License CCC1 326620
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.
I _
SUPPLEMENTAL CONSTRUCTION LIEN L�4W INFORMATION
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 before commencing work or recording our Notice of Commencement.
Silgnature of Owner/Lessee/Contractor as Agent for Owner Sig ature of Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _�1G>+(�—i Y� COUNTY OF
Sworn to d subscribed before me of Sworn it nd subscribed before me of
ysical Prese r Online Notarization sical Pre n or Online Notarization
thi o 20?2�0�1 this 2020 by
ClVln loss E � n ,n LLoy) L rr cl-, �P,n
Name of person making
t Name of e p en . person making statement.
Personally Known . Produced Identification Personally Known_LZOR Produced Identification
Type of Identification Type of Identification
P ced Pro e
ignature of Notary P o of (Signature li - a e pf
A Ama 8 blio_Sha Florida Notary Pu is gta a g1rFTb�i�a .
Commission No. nr �n GG 299401 '� Amanda Meehan
nny C0 Commissio ommission GG 299 f%!aI)
Expires 05/1912023 Expires 05/1912023
of
O�A
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 0
NOTICE OF COMAZWEMIENT
The undersigned hereby given notice that improvement will be made to certain real property,and in accordance with
Chapter 713,Florida Statues the following information is provided in the Notice of Commencement.
PERMIT NUMBER:
1. DESCRIPTION OF PROPERTY(Legal description&street address,if available)TAX FOLIO NO. 2421-609-001 1-000-8
sm]XVISION ORANGE BLOSSOM BLom TRACT LOT BLDG UNIT
ESTATES-2ND ADDN-2ND PLAT BLK 7 LOT 3 (0.22 AC) (OR 441-77; 2418-2336; 2389-2990)
2. GENERAL DESCREMONOFIMPROVEMENT: Reroof
3. OWNER INFORMATION:a.Name Carol Ann Blad
b.Address 2604 Newport Dr, Fort Pierce, FL c.Interest In property wner
O
Name and address of fee simple titleholder(if other than Owner)
4. CONTRACTOR'S NAME,ADDRESS AND PHONE NUMBER: Roof Doctors LLC (772) 208-8618
884 NE Pop Tilton Place, Jensen Beach, FL 34957 .
I SURETY'S NAME,ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME,ADDRESS AND PHONE NUMBER:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7,
Florida Statutes: p
NAME,ADDRESS AND PHONE NUMBER U
F U
� Z
U ti
5 T
U E—
ul
U
S. In addition to himself or herself Owner designates the following to receive a,copy of the Ucnor's Notice as provided in Section 713.13(1)(b),Florida E ul p
NAME,ADDRESS AND PHONE NUMBER:
O Q
ON
1
J N N
9. Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different date is specified): U
WZ01 c3
20 �ooao
WARNING T0 QWNER•ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMP R &cr,
PAYMENTS UNDER CHAPTER 713.PART I.SECTION 713.13_FLORIDA STATUCFS.AND CAN RESULT 1N YOUR PAYING TWICLF.FOR IMPROVEMENTS TO Yr W U c�°, Z
PROPERTY,A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB_SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO C —t� Y a
FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF OO�vfME�Ts�IujENT F st p
x Carol Ann Blad
Slgttature of Owner or Print Name and Provide Sign2tory's TidelOffiee
Owner's Authortaed Ofter/Dlredor/Partner/Mannger
State of Florida
County of It LUG 8
The foregoing instrument was acknowledged before me by means o physical presence or E3 online notarization,this day of 20
by who is personally known or produced the following type ofidenti license
`A++++0 A t tA4
WissiooNF
? 0�19 2 90. (Siraftm ofwntary Public)
ty0TARy N.
Under Penalties of perjury,I declare that I have read the foregoing and t2t lht facts r' q the Hest oEmy knowledge and belief(Section 92,525,Florida Statutes).
Rev.02tW2020(R ourding)
M.It GG
izz�zj,91,�/oI