HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �1 ' 1 `�� I Permit Number:
C�UuL'Qfllh�,
r- L c c11 E -- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXXXXXXXxxx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772)462-1S78
PERMIT APPLICATION FOR:RE-ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 5401 DELEON AVE. FT. PIERCE, FL 34951
Property Tax ID#: 1301-614-0203-000-5 Lot No.15
Site Plan Name: Block No. 165
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF AND REPLACE ROT - INSTALL TITANIUM PSU-30 S/A UNDERLAYMENT
INSTALL 26 GA GULF RIB METAL ROOF SYSTEM
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 I Roof Pitch
Total Sq. Ft of Construction: 2,400 Sq. Ft. of First Floor:
Cost of Construction: $ 14,780 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameROBERT & KATHLEEN FOWLER Name:JOE BAKER
Address:5401 DELEON AVE. Company:BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE State:_ Address:2699 NW 16TH BLVD.
OKEECHOBEE
Zip Code. 34951 Fax: City.. State:FL
Phone No.772-742-8180 Zip Code: 34972 Fax: 863-763-7662
E-Mail: Phone No863-763-7663
Fill in fee simple Title Holder on next page(if different E-Mail BIGLAKEROOFING@YAHOO.COM
from the Owner listed above) State or County LicenseCCC046939
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. _J1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X, 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 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 our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLffA STATE OF FLORIDA
COUNTY OF � --r_ COUNTY OF (, 3
S rn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Ph1x��lcal Presence or Online Notarization 1P �ji al Presenc or Online Notarization
this ICAby of tr'� 2021 by this ` v of � 202,1 ny
Name of person making statement. Name of person making statement.
Personally Known J` OR Produced Identification Personally Known�OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of FI r' ignature of Notary Pub[' a
-=aj;�;vPu�;c I �L HEREDWARDSON
`Q� vPaBGc' HEATHER EDWARDSON t: MY MM SSION#GG 215185
Commission No. *: M(@4MISSION#GG215185 mmission No.
;� S:May 21,2022
:a EXPIRES:May 21,2022 Public Underwrllors
=ter• •c; publicUnderxrles rFoF °Q BondedThruNotary �, •
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.