HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-29-2021 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: REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 5412 SUNSET BLVD FT PIERCE 34982
Property Tax ID#: 3402-609-0265-000-7 Lot No. 7
Site Plan Name: Block No. 59
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLE ROOF
INSTALL PEEL & STICK FL2569
INSTALL SHINGLE FL30310 INSTALL RIDGEVENT 19-1217
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 S Roof 6/12 Pitch
Total Sq. Ft of Construction: 2,864 Sq. Ft. of First Floor: 2,864
Cost of Construction: $ 13,950 Utilities: —Sewer _Septic Building Height: 8 FT
OWNER/LESSEE: CONTRACTOR:
Name Phogh Enterprises LLC Name:ROLAND WILEY
Address:632 SE Starflower AVE Company:SHORELINE ROOFING
City: PORT ST LUCIE State: F Z Address: 1973 SW GLENDALE STREET
Zip Code: 34983 Fax: City: PORT ST LUCIE State: FL
Phone No.772-370-6424 Zip Code: 34987 Fax:
E-Mail:JOSHPBRADLEY@COMCASTNET Phone No 7722609565
Fill in fee simple Title Holder on next page(if different E-Mail SHORELINEROOFING@YAHOO.COM
from the Owner listed above) State or County License CCC1331170
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ` 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.
J;
Signature of Owner/Lessee/Contract r as Agent for Owner Signature of Contractor/License Holder`
STATE OF FLORIDA !a # STATE OF FLORIDA (-, ,
COUNTY OF _ COUNTY OF 1i .
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th'� day of L �. r— 2 ( , thi `''�day of �1�' T— 202 bye,
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Commission No.
Commission No.'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.