HomeMy WebLinkAboutpermit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
V, Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: reroof
N " 0 P0 tb`i 0' bVEMtN"TL6tATIdN:
Address: 5405 Turnpike Feeder Rd, Ft Pierce
Property Tax ID#: 1312-422-0000-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Lakewood Park Methodist - 5405 Turnpike Feeder Rd
ETAILED PESCRIPTION, OF WORK,
This is only 1 structure on the property. See diagram. This is for the home at the back of the property.
Remove existing roof material to deck-, renail to code. Install SA underlayment, & 5v metal roof.
New Electrical Meter Second Electrical
CC3NSTRUCTION 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 4 Pitch
Total Sq. Ft of Construction: 3400 Sq. Ft. of First Floor:
Cost of Construction: $ 20562 Utilities: —Sewer — Septic Building Height: 10,
1 M '777777777777777--
CONTRACTOR:
Name Lakewood Park United Methodist Church Name: Douglas E. Roe
Address: PO Box 651278 Company: Code Red Roofers, Inc
City: Vero Beach State: Address: 3341 SE Slater St
Zip Code: 32965 Fax: City: Stuart State: FL
Phone No. 772-475-7742 Zip Code: 34997 Fax:
E-Mail: n/a Phone No 772-287-2829
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:_
MORTGAGE COMPANY:
Name:_
Address: _
Citv:
Zip: Phone:_
x Not Applicable
State:
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 attornev before commencini; work or recordinp, vour Notice of Commencement.
6
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
Mot �F47
COUNTY OF tY cG�'"- ?Y7
COUNTY OF
Sw9pn to (or affirmed) and subscribed before me of
Swofn to (or affirmed) and subscribed before me of
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Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of A37P r;' ( 12024 by
this __7 day of (4a v , 202 f by
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Name of persor4naking statement.
Name of person m ng s tement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
nature of otary Public- Sion a lorida )DAYNAJ. REGIS
(Sign uyre of No Public- State of FI rida )
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Commission # HH 053320
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No.
Commission No. (WAS October 14, 2024
Commission
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9,e iJF F`v Bonded Thru Budget Notary Services
Nj oQ Expires October 14, 2024
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FOF F\.o Bonded Thru Budget Notary Services
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Rev. S/b/20