HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �'j
Date: I �Z� Permit Number: � I 5 '(�`� v t
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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: Metal Re-Roof
Address: 4621 Edwards Rd, Fort Pierce, FL 34981
Property Tax ID#: 2430-501-0023-000-2 Lot No. 14& 15
Site Plan Name: Block No.
Project Name: Sue Mendes
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Remove existing roofing material,repair/re-nail decking,install seam tape,install synthetic underlayment,install new Premier Tuff Rib metal roofing system.
New Electrical Meter Second Electrical Meter
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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 Pitch
Total Sq. Ft of Construction: 3400 Sq. Ft. of First Floor:
Cost of Construction:$ 21,333.00 Utilities: —Sewer _Septic Building Height:
Name Sue Mendes Name:Troy Glowth
Address:4621 Edwards Road Company:Advanced Metal Roofing,Inc.D/B/A Brilliant Roofing&Restoration
City: Fort Pierce State:it L Address:4149 SE Salerno Road
Zip Code: 34981 Fax: �,j City: Stuart State:FL
Phone No.772-801-5157 Zip Code: 34997 Fax: N/A
E-Mail:RLBurton217@gmail.com Phone No 772-678-6654
Fill in fee simple Title Holder on next page(if different E-Mail Mail@brilliantroofing.com
from the Owner listed above) State or County License CCC1327906
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.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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.
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Signature of Owne /Lessee/Contractor as Agent for Owner Signature of Contractor/ ' ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Made
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 28TH day of April 'Lj by this 28TH day of April Z] by
Name of p son m king statement. Name of persdn making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signat r of Notary Publi (Signature f otary Public-State of Florida
MEGAN LAWRENCE ,, A. GqN LAWRENCE
Commission No. HH 90458 '+r,• - 4*. hot*'*Dlic-State of Florida Commission No. HH90458 :'"A.7" '., Notar ���_State of Florida
p• , 1� Commission;HH 90458 Commission#HH 90458
� 1 r%' My Comm.Expires Apr 24,2025 'tom ' my Comm.Expires Apr 24.2025
Assn. Sorcec through i iational Notary
REVIEWS FRONT NING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETE D
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