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HomeMy WebLinkAboutPermit ApplicatonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 91ra 0 t' _� o pp �e S Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address. 2306 ELIZABETH AVE Property Tax ID #: 2428-604-0012-000-1 Site Plan Name: Project Name: FLEETWOOD ACRES BLK 1 LOT 12 DETAILED DESCRIPTION OF WORK: 9 square low slope, install Polyglass FL1654-R27 sabase & Torch Cap Lot No. 12 Block No. 1 9 square 3/12 pitch, install So rema Tribuilt Sand underla ment FL2569-R21, Tamko Shin lesFL35321 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 _ Electric _ Plumbing — Sprinklers —Generator Total Sq. Ft of Construction: 1800 Cost of Construction: $ 7500 Sq. Ft. of First Floor: Windows/Doors XRoof Utilities: —Sewer —Septic Building Height: Pond Pitch OWNERAESSEE: Name Christopher Chalaire CONTRACTOR: Name:Calvin Lars Christensen Address:- 2306 Elizabeth Ave Company:Roof Doctors LLC City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No. 772-985-1533 Address:S$4 NE Pop Tilton City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No800-339-7326 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement E-Mail roofdoctorsfl@gmail.com State or County LicenseCCC1326620 is required. is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION- DESIGNER/ENGINEER: Nat Name: nuul c��. City: State: Z. phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: �wJ Zip; _ Phcne: MORTGAGE COMPANY: , Not Applicable Name: A A.J_- rkL Sia3e City: hone: BONDING COMPANY: Nomc: Arrlrlress: City: Zip: Phone: State: Not Applicable 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. StLuci.. r•.,..»....,..,..1.,.. - .t; .....L ��..� tL .. .,;tr 1. ..IJ.... t� L.,ai,.t �L, LULIC l-V v31� 111d AC9 lfV ICt.0 Gr•CIILALIUI! Lilo 3 Idl3LFils 6�Ci311f4 Y4Y16 dvlY,V116C G Cl Y333L i3V3v C3 .LU;1l.� LY,C iLl Lt)CLi �LI blLLL3 rC which is in Mict with any applicable Home Owners Association rules, bylaws or anNcovenants 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, accessary 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 yotir property. A Notice of Commenrwment rrtltst he rprorded in the pohlir 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 commancincr wnrir r%r rae mrra;nwy rpn3lr hinr:nn —T r- ,.... ,w...3 , .w.. �&Con�tractorj�Llcense Signature of CJWner essee/Contractor as Agent for Owner Signature Holder STATE OF FLO I© STATE OF COUNTY OF l COUNTY OF ��� � So wo (or affirmed) and subscribed before me of Physical Pres nee or Online Notarization Swor (or affirmed) and subscribed before me of V Ph sisal Presence or Online Notarization this day of riffil 2026 by this_L day of � = 20291by M r(s ncn Name of person eking Statement. atement. Name of person making sZo-, rersondiiy i�npwn F un rnpuCet] itieniiTlCdCit7n rerSurt,4iiy rv1c Wfl PlUduLeu ideritiiiidiiuir Type of Identi ation r�� ra Type of Identification ced LiJC.� Produced (Signature of Notary P (Signature of Notary ubh Notary Public State of Fioniu Commission No. Arriand§V@Wan My Cammiulxt GG 299401 Hotaty Pudic 3tMe of F$Qr,da Commission No. Arrt Iran I Expiresi 0511912023 MYCmml �3G 2g13$01 NMI/ Fxptres OW14=23 OF REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW n urt t L RECEIVED nATF COMPLETED i V..Jr Vj{SJ