HomeMy WebLinkAboutBuilding Permit ApplAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
0 \Ikk�d Lei
upW W u W, : Building Permit Application
Planning and Development Services
OuIIdAlgand Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue, Fort Pierce FL 34902
Phone: (772) 462-1553 Fax: (772)4624576
PERMIT APPLICATION FOR: New Roof Pitched and Flat
PROPOSED IMPROVEMENT LOCATION''
Address: 6406 Fort Pierce Blvd, fort Fierce, rI, J4y0w1
Property Tax ID if: 1301-607-0029-000-9 Lot Nov 1
Site Plan Name: Block No. 79
Project Name: Jo Ann Mattison
DETAILED DESCRIRTION 9F W.ORIC:.
Remove Old Shingles and Underlayment on Pitched Roof and Old Flat Roof Material, Install New
Peel and Stick Self Adhesive Underlayment and Shingles on the Pitched Roof and New Material on
the Flat Roof as per Product Approval
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
_Windows/Doors _• Pond
Roof 3/12 & Flat pitch
Sq. Ft. of First floor:
Cost ofConstruction: $ 14900.00 Utilities: _Sewer _Septic
Building Height:
OWNER/LESSEES
Iva
CONTRACTOR:
Name Jo Ann Mattison
Name: Todd Thompson _
Compalty:Titompson's Remodeling &Homo Repair, Inc.
Address: 6406 Fart Pierce Blvd
Address:3871 39th Sq
city: Fort Pierce State:_
Zip code: 34951 Fax:
Phone No. 772-466-7566
city: Vero Beach State: FI
Zip Code: 32960 Fax: 772-564-6760
Phone No 772 564-8008
E-Mall:
E-Mailrnichelle@thompsonsremodeiiiig.coi
FIII in fee simple Title Holder on next page (if different
from the Owner listed above)
state or County License 31559
AIUe of construction Is Z50U or more, A nL't:ultutu rvo[Ice or wmmencemen[ rs requu uu.
If value of HAVC Is $7,500 or more, A RECORDED Notice of commencement Is required.
SU.PPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: —Not Applicable MORTGAGE COMPANY: Not Applicable
Address: Address:
City: State,,_ City, State:
Zip; Phone ZIP: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Address: Address:
City, City:_
Zip: Phone;
OWNER/ CONTRACTOR Af•FIDVIT: Appllcatlon 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 CountYmekes noYreprese �ationthatIsgran
tingaparm ItvyIII auttorizethe ermitholdertobuild the
subject structure
$truclluielPleasie eonisult wltrpyolurHome owners Association andrrevlew hour deed fforoany reStrlctions whlchtrmey apply.lbit such
Inn consideration of accordance with the
tha apprtoved plansof this rthe Floriduested a Building Codes aI do nd St. Lucieree th tC County Am endIn all mentsperform the work
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 ppaging 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
_s_.... ,,,,.„„.e.,,.i„n u.nrl. nr rp nMinn vnur Nntirp of rnmmoncement.
wlm tenser or an aLwi rrr y U
- - -- - -
OA //
Signature of Contractor/Lice se Bolder
Signa re, of Owner/ Leswelo t ractor as Agmtt for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOFIrgDi�
COUNTYOF
Sw rn to (oil affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or_Onlln�eN�gotarization
this day of Pat_ M by
this � day of ��: f 4020,
JoAcJO Morfrlspr.)
/�sdow� ONJgielo
Name of person Inak ng statement.
Name of person making statement.
Personally Known OR Produced Identification W
Known W OR Produced Identification
PersonType
Type o(IdeotL((ca`o���,
lly
Produced lLAlI..
Produced
,�rki'^"rp t CAROLMCADAMS
L,. �h
^�L
:ON
MMI5510RB'GGD92IF
(Signature of Notary Public
tt a of Notary III _ „f=rdarWa,L.
.t{tt o �(tiri
XPIRES: March 17, 202
RACHEL E,BARRETTJ
B n g Thru Notary Puhllc Unlan
commissionNo.Isslon
-
No. ;,; M`�fFfFi�rtISSI0N1{GG 285I
EXPIRES: December 20,
el talk Pulift-11 an
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEATURTI.I MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev, 5/fi/20