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HomeMy WebLinkAbouthenson permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: fl5-05-2021 Permit Number: 4 Lua[; 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: 4036 Greenwood Drive Property Tax ID #: 2421-702-0021-000-7 Lot No. 19 Site Plan Name: Henson Block No. 1 Project Name: Henson DETAILED DESCRIPTION OF WORK: Remove existing roof system Clown to decking, renaii to code, install hi temp underiayment, install 5v metal roof system to code on pitched roof on flat roof remove and replace modified Bitumen roof system 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: 2800 Cost of Construction: $ 16960.00 _ Gas Piping __,- Sprinklers Shutters Windows/Doors Pond — Generator — Roof 4/12, 2/12 Pitch Sq. Ft. of First Floor: Utilities: _ Sewer " Septic Building Height: 25 OWNER/LESSEE: CONTRACTOR: Name Rose Henson Name: Richard Colietti Address:4036 Greenwood Drive Company; Leakbusters Roof Repair City: Fort Pierce State: Address: 3420 25th St SW _ Zip Code: 34982 Fax: City: Vero Beach State: FL Phone No. Zip Code: 32968 Fax: E-Mail: Phone No 7723328450 Fill in fee simple Title Holder on next page { if different E-Mail richiecoilettiC&gmail,com from the Owner listed above) State or County License CCC1330976 29763 f value of construction is 7rsnn nr mnro iS Fumuq Cu. tf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPL.EMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: .� Not Applicable Name. Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 exemptfrom undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessar us t y es o 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 your Notice of Commeneempnt Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF__ `=�1►r 1 S%Orn to (or affirmed) and subscribed before me of P ysical Presence or Online Notarization thi day of 202Q by N me of pers making statement. Personally Known _X OR Produced Identification Type of ldentificatio 3 F"b4�0.Y. Nisi. KATHERINE HAVENS Commission No. MyC q3I0N#GG765030 EXPIRES: DEC 04, 2021 Bonded through 1st State im—. t Signature o Con a or Ucense older STATE OF FLORID pg COUNTY OF Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this eday of 202Q"�y. Name of person making state ent. Personally Known OR Produced Identification Type of ldentificatio Produced Commission No, REVIEWS I CQ ©LATER � REQVIEW I S REVIEWPERVISQR I RPS EV W DATE KATHERINE HAVENS - YY CCll*N #GG165030 EXPIRES: DEC 04, 2021 VEGETATION I SEA TURTLE I MAN -GROVE VE REVIEW REVIEW REVIEW