HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05-07-2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR: Reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 9436 Poinciana Court
Property Tax lD #: 1334-503-0005-000-8
Site Plan Name: Brucker
Project Name: Brucker
Lot No. 3
Block No.
DETAILED DESCRIPTION OF WORK:
Remove existing roof down to decking, renail to code, install hi temp underlayment, install 1" standing seam metal roof system
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION: J
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing —Sprinklers _ Generator
Total Sq. Ft of Construction: 1700
Cost of Construction: $ 29,340.00
Sq. Ft. of First Floor:
Windows/Doors Pond
Utilities: —Sewer —Septic
Roof 6112 Pitch
Building Height: 25
OWNER/LESSEE:
CONTRACTOR:
Name James Brucker
Name: Richard Colletti
Address: 9436 Poinciana Court
Company: Leakbusters Roof Repair
City. Fort Pierce State: —
Zip Code: 34951 Fax:
Phone No.
E-Mail:
Address: 3420 25th street sw
City: vero beach State:
Zip Code: 32968 Fax:
Phone No 7723328450
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail richiecolletti@gmaii.com
State or County License CCC1330976 29763
if value of construction is z5u0 or more, a ntc,VKuty ryotice Ul w�i���ic�n c��rv��� �_ �c+4++.' G""•
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER. Not Applicable
Name:
Address:
City: Stage:
Zip: Phone
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 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 leMer or an attorney before commencing work or recordiniz vour Notice of Commencement.
Sign re of Owner/ Lessee/Contractor as Agent for Owner
Signature of LidvensrHolder
STATE OF FLORiDA () I 1 u Cl (5
COUNTY OF J I lJ
STATE OF FLORIDA ��
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Name f p rson making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced identification
Type of Identification
Type of Identifcatio
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Commission No. I My3WMVISS10N#GG1S5030
P,TNERlNE HAVENS
Commission No. My SIGN #GG165030
EXPIRES` DEC 04, 2021
DEC 04, 2021
Bond
Bonded through 1st State Insurance
Bondad through 1st State insurance
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20