HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/5/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Corte Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential XXXX
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION;
Address: 6905 Shannon Dr Ft Pierce FI 34951
Property Tax 1D #: 1301-613-0133-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Tear off shingle roof install 5V Crimp metal Roof
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 1580
Cost of Construction: $ 2395.00
—Gas Piping
—Sprinklers
Shutters
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Win ows/Doors _ Pond
Roaf Pitch
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTaylor Lee Green
Name:Richie the Roofer
Company:
Address:6905 Shannon Dr
City: Ft Pierce FL State: _
Zip Code: 34951 Fax:
Phone No. 772-528-5902
E-Mail:
Address:905 13th st sw
City: Vero beach State:A
Zip Code: 32962 Fax:
Phone No —7 7 73 61
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License �� Q L
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
if value of HAVC is $7,S00 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 AMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone -
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby trade 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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.
��-E' s
Sign of Owner/ Lessee/Contractor as Agent for Owner
Affrnature of Contractor/License Bolder
STATE OF FLORI A !
STATE OF FLO
COUNTYOF t' /�
_ nc.� Ir:�- .�.,.._
_ - C
COUNTY OF _ ---
The forgoing instrument was acknowledged before me
� I
The for ing instr ent was acknowledged before me
this day of 12:2 �f , 20 Z key
day of 202�Z by
Name on making statement
Name of person making statement
o w OR Produced Identification
Personally Known 4.�R Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Nota P40i itateQfyF�o0dis+�te of FForida
{Signature of Notary Public -
Melissa Cole
Commission No_ r My Commis&T' 253806
Aires 091 2'L
g�1y P�bli� 111�Is t+t Fkxidn
Commission No. � i�tt�@fii0rt �
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COM PI_ETED
Rev. 8/2/17