HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �(
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Building Permit Application
APB 9 ,9 1021
Planning and Development Services
Building and Code Regulation Division Commercial Residential yefirmitr.ng Department
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PRQPOSaE® IsMiPR®UEMIE�NT L®C�ATION � �
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Address: 214 N. 40th St Fort Pierce, FL 34947
Property Tax ID#: 240860300650002 Lot No.8 & 9
Site Plan Name: Block No. 6
Project Name: Willie Jones
®�El-AILE® ®E�SCR+IPTI®N ®F 11V®R+K �� x � �u'
Tear off existing shingle roof and install a 5v crimp metal roof using Polyglass self-adhering underlayment
New Electrical Meter Second Electrical Meter
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CONSTRl1CTl® INiF®RIVIAI-I®N � � ",
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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 _V-lRoof Pitch
Total Sq. Ft of Construction: �� Sq. Ft. of First Floor: l Zjr'�d
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Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
OWNERI_ESS,E s f
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Name Willie Jones Name:Roy Frampton
Address:214 N 40th St Company: Perfect Pitch Roofing, LLC
City: Fort Pierce Stater Address:4649 SW Masefield St
Zip Code: 34947 Fax: City: Port St Lucie State: FL
Phone No.772-971-0170 Zip Code: 34953 Fax:
E-Mail:jon670@aol.com Phone No 772-212-5184
Fill in fee simple Title Holder on next page(if different E-Mail royping40@gmaii.com
from the Owner listed above) State or County License CCC1331326
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Pone:
fla JA
FEE SIMPLE TITLE HOL t Applicable BONDING COMP Y: 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 inspect* in. If you interigKo obtain financing, consult
with le a or an at.torkey before commencing work or receyr iOg your NRic of Commencement.
*1 1 y/W'4&L_7__
Signature of O ner sse /Contractor as Agent for Owner Signature n act /License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF S� tc"a 2 COUNTY OF T
Sworn t -(or affirmed)and subscribed before me of Sworn Jp4or affirmed)and subscribed before me of
— ysical Presence or Online Notarization hysical Presence or Online Notarization
this day of 2020 by this day of 2020 by
Name of per on making statement. Name of perso making statement.
Personally Known v OR Produced Identification. Personally Known O R Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Pub' r' (Signature of Notary Public-
ow Note Public Stele of Florida Notary Public State of Florida
Commission No. And %)Reidy Commission No. AP A )G Reidy
My Commission GG 347551 My Commission GG 347651
pr tidd' Expires 08l2312023 �w Expires 0612312023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20