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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04J0912021 Permit Number• a i COUNTY Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential x 2300 Virginia Avenue, Fort Pierce FL 34992 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: RerOOf PROPOSED IMPROVEMENT LOCATION: Address: 5713 Hain tree tri Property Tax ID #: 3402-610-0029-000-5 Lot No. 29 Site Plan Name: Amoruso Block No. 65 Project Name: Arnoruso . L7EfA1�El DESCRIPTION OF WORK: Remove existing roof system down to decking, renail to code install hi temp underiayment, install complete 5v 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 _ Roof 5/12 Pitch Total Sq. Ft of Construction: _ 2g ��W Sq. Ft. of First Floor: �/ 1'16® Cost of Construction: $ 14,650.00 Utilities: —Sewer _Septic Building Height: 15 Name Loretta Amoruso Address: 5713 Flaintree Trail City: Fort Pierce FL State: Zip Code: 34982 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( N different from the Owner fisted above) CONTRACTOR: Name: Richard Colietti Company: LeakbusterS Roof Repair Address: 3420 25th Street SW City Vero Beach State: FL Zip Code: 32968 Fax: Phone No 7723328450 E-Mail richlecolletd@gmaii.com State or County License 29763 txc13 10976 If value of construction Is 25W 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. DESIGNERANGINEER: Not Applicable Name: Address• City: State, Zip: Phone FEE SIMPLE TITLE HOLDER: N Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: ) , Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: „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 Counttyy 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 before Signature of Owner/ Lessee/Contractor as Agent for Owner CCO N Y C� FLORIDA l al� Sw to (or affirmed) and subscribed before me of sical Pres ce or Online Notarization this day of _, 2i12(! by ivy+�a A-Moy-wo Name of person making statement. Personally Known OR Produced identification Type of Identifi � Produced REVIEWS I FRONT I ZONING COUNTER REVIEW DA !Notice Ot of STATE OF COUNTY OF FLORIDA—_ R± I Sworn to (or affirmed) and subscribed before me of P steal Pr eno a or Online Notarization this day of Ztl2f� by � i�lnn�r� f d�-��� Naindof person making statement. Personally Known _ OR Produced Identification Type of Identification Produced (Sign a of Notary Public- State of Florida ) I gat K4T ERINE HAVENS Commission No. r � ��4 JSION #GG161 EXPIRES: DEC 04,202 S PERVISMANGROV REVIEWOR 4 REVIEW I I PLANSVRE EW©" I SEREVIEGETATIA EW I REVIEW E