HomeMy WebLinkAboutBuilding Permit Application .All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/31 /2021
Permit Number:
r� Lg-EL R
L- �` rz ���� 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: OCC Quality Roofing LLC
PROPOSED IMPROVEMENT LOCATION:
Address: 120 SE Selva CT Pt. St. Lucie, FL 34983
Property Tax ID #: 3419-550-0010-000-8
Site Plan Name: River Park
Project Name: Reparada Garcia
Lot No. 14
Block No. 62
DETAILED DESCRIPTION OF WORK:
Remove exsiting shingles and re -roof with new shingles
Remove existing modified bitumen and replace with Self -adhered modified bitumen membrane base sheet and cap sheet.
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 6/12 Pitch
Total Sq. Ft of Construction: 3,000
Cost of Construction: $ 13,650.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Reparada Garcia
Name: Oscar Calzada
Address:120 SE Selva Ct
Company:OCC Quality Roofing LLC
City; Pt St Lucie State: _
Zip Code: 34983 Fax:
Phone No.863.484.0613
Address:3545 NW 4th Avenue
City: Okeechobee State: FL
Zip Code: 34972 Fax: N/A
Phone N0863.484.0613
E-Mail: occroofingllc@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail occroofingllc@gmail.com
State or County Licenseccc1332108
If value of construction is 7-500 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: 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
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
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 vour Notice of Commencement.
C�'Ccr C-,-t/Mde- I CSC-v 6i/me"/'
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Okeechobee
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 71' day of r7 1 202% by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
,u%
(Signature of Notary Put
ARIE E. RUIZ
'_� Notaryy Pu lic-State of Florida
Commission No. HHs7tts
Corh�RMlion # HH 37113
My Commission Expires
" August 26, 2024
STATE OF FLORIDA
COUNTY OF Okeechobee
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this ?A day of Apri ( 2020 by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
of Notary Public -
mission No. HH37113 :•f' ";.(46;4I jvIARIE E. RUI
Public -State of
Commission # HH 3
August 26, 2024
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Rev. 5/6/20