HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
OU- N T a
V .L D s 1 D A
Planning and Development Services
Building and Code Regulation Division
230D Virginia Avenue, Fort Pierce F[ 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Re -Roof Shingle
P UPUSED IMPROVEMENT LOCATION:
Address:
Permit dumber:
Building Permit Application
Commercial Residential X
Property Tax ID #: 2320-501-0057-000-1 Lot No. 5
Site Plan Name: Block No. 4
Project Name: Gardner Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -Roof Shingle
Underla ment - Weatherloclt
Replace Ridge Vents
CONSTRUCTION INFORMATION_
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_ Gas Tank — Gas Piping
Total Sq. Ft of Construction:
Plumbing i Sprinklers
2103
Cost of construction: $ 12,000
DWNER/LESSEE:
Name_ Lisbeth Gardner
Address: 2750.S 6roCkSmith Rd
Shutters
Generator
5q. Ft. of First Floor:
Utilities- —Sewer Septic
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 7 -2
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name. Robert Donovan
Windows/Doors
X Roof 6/12 Pitch
Building Height. 20'
Company: Total Home Roofing
Address: 597 Haverty Court, Suite 40
City: Rockledge State: F
Zip Code: 32955 Fax:
Phone No 321-452-9223 -
E-Mail Chf istaQPthroofing.com
State or County License CCC1330489
IT value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC 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; — J
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:
r1lAlRICD / r'f1nITmA r—rr�n n rrrr.. rl—
---- •-r 1..r,..1 — +`r-11 : Hpprrcauon is nereny 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 Horne 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 5t. 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 accessary uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENNCEMENIV,
I— — — —, — — — —.. .—
Signature of Ow r essee/Contractor as Agent for Owner
STATE OF FLORIDA
COtJNTY OF_Palm BpCh
Signature of Coi r or/License Holder
STATE OF FLORIDA
COUNTY OF —Pal_
Thefor �oing instrument w s acknowledged before me The farg ing instrument was acknowledged before me
this day of Y+ 20 21 by thfs day of i ZO Z i by
Robert Donovan
Name of person making statement.
Personally Known X OR Produced identification
Type of Identification
Produced
Robert Donovan
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced__
[Signature of Notary Public- `o'ri a :`5h -"- r
ST', L`i �lr 93�8 Signature of Notary Pu{3ii e ofigtfdaty� -
Commission No.CaCaJ3Q8$<. .,h* {ayCGt,nrB:PdCenlfl YG�,'d551ta1d4,2i7�4 1
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