HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierre FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Re -Roof Shingle
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential x
Address 681_2_T_ho_rew-I Ter
Property Tax In tt: 3415-705-0027-000-2 Lot No. 26
Site Plan Name:
Project Name:
Rizzo Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -Roof Shingle
Underlayment - Weatherlock
CONSTRUCTION INFORMATION:
Additional workto be performed under this permit— check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters
_ Electric _ Plumbing — Sprinklers _ Generator
Block No. 1
Windows/Doors
X Roof 5112 Pitch
Total Sq. Ft of Construction: 4Q61 Sq. Ft. of First Floor:
Cost of Construction: $ 16,000 Utilities: —Sewer —Septic Building Height: 20'
OWNER/LESSEE:
Name Camille Rizzo
Address: 6812 Thoreau Ter
city: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. �772-460 8900
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Robert Donovan
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 ChristaCthroofing. ccm
State or County License CM 330489
It value or construction is $Z500 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:
DESIGN ER/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 andcovenants 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 Buliding 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 nor -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 COMMENCEMENT."
Signature of OwnKressee/Contractor as Agent for Owner
Signature of Cor or/License Holder
STAVE OF FLORIDA
STATE OF FLORIDA
COUNTY OF��Im Bp2rh
COUNTY OF Palm ReaCb
The forgoing instrum ntwas acknowledged before me
this2A day of i 20A by
The forg ing instrumentwasacknowledged before me
this day of -AQrx �_ 20Z�b by
Robert Donovan
Robert Donovan
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public; 5fa$•FI Tn Y SALEv1Cru+s
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Commission No.GG930,$8 e� (�g:a,�;iy,20a4
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Signature of Notary Public -
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ommissionNo.GG93D88`'': SYe�S ���4d
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
EV. 2/7/19