HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34582
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Re -Roof Shingle
PROPOSED IMPROVEMENT LOCATION:
Address: 6502 Citrus Park Blvd
Property Tax lD #: 1301-611-0368-000-0
Site Plan Name:
Project Name. WllliaMS Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -Roof Shingle
Underlayment - Rhino G _
Replace Off Ridge Vents & Skylight
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric
Total Sq. Ft of Construction:
Plumbing _ Sprinklers
2714
Cost of Construction: $ 12,900
Generator
Sq. Ft. of First Floor:
Lot No. 15
Block No. 1 1 1
— Windows/Doors
X Roof 6112 Pitch
Utilities: _ Sewer —Septic Building Height: 2V
OWNER/LESSEE:
CONTRACTOR.
Name Timothy Williams
address=_6W2_Citrus Park Blvd
Name: Robert Donovan
Company: Total Home Roofing
Address: 597 Haverty Court, Suite 40
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-577-1482_
City. Rockledge State: F
Zip Code- 32955 Fax:
Phone No 321-452-9223
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail Christa@throo#ing.com
State or County License CM 330489
It value of construction is 52500 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/ENGINEIER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
City:
Zi p: Phone:
Zip: Phone:
uv IM/ LUN I KAL I UK AI-NUV1 I: 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 proh€bit 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 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE 13EFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN E "
C MENT.
Signature of Ow r essee�Contractor as Agent for Owner
Signature of Co®rmiLicense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm Rpmrh
COUNTY OF
The forgoing instr,T nt was acknowledged before me
this day
The far oing instrument was acknowledged before me
of 202L by
this day of`ffla$[.V-� 20ZI by
Hobert 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; e:af_.Florida-) I1SCia
tSig t*ofotary is -State of Florida)
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Commission No.GG93088,3. - MY 1�,zE'24
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G G 93488
Commission No. ;
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REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION._. SEATURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETE❑
ev.