HomeMy WebLinkAboutja permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/19/2021 Permit Number:
w Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: reroOf
PROPOSED IMPROVEMENT LOCATION.
Address: 2412 Shamrock Road
Property Tax ID #: 2421-601-0022-000-4
Site Plan Name: JA Carpet & Laminate LLC
Project Name: JA Carpet & Laminate LLC
Residential x
Lot No. 2
Block No. 3
DETAILED DESCRIPTION OF WORK:
remove existing roof system down to decking, renail to code, install hi temp underlayment, install 5v roof system to code
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 4/12 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: 1295
Cost of Construction: $ 8,000.00 Utilities: _ Sewer _ Septic Building Height: 15
OWNERAESSEE:
CONTRACTOR:
Name JA Carpet & Laminate LLC
Name: Richard Colletti
Address: 2412 Shamrock Road
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Company: Leakbusters Roof Repair
Address: 3420 25th street SW
City: Vero Beach State: FL
Zip Code: 32968 Fax:
Phone No 7723328450
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail richiecolletti@gmail.com
State or County License CCC1330976, 29763
YG1WC WI M L7VV V( MUM, 0 nc\.Vnutu imotice or lAmmencement is requireo.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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.
1 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.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
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REVIEW
REVIEW
DATE
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DATE
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