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Building permit app
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4128/2021 Permit Number: 9_ Ua� Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT AI PLICATION FOR: RerOOf .PROPOSED IMPROVEMENT LOCATION Residential x Address: 6104 Papaya Drive Property Tax ID #: 3402-610-0584-000-3 Lot No. 16 & 17 Site Plan Name: Roger Wilson Block No. 89 Project Name: Roger Wilson DETAILED C3ESCRIPTION OF WORK: Remove existing roof system down to decking, renail to code, install hi temp underlayment, install 5v metal roof system to code New Electrical Meter Second Electrical Meter I-CONSTRUCTIOI11 I NFORMATI©N: 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 6/12 Pitch Total Sq. Ft of Construction: aa Sq. Ft. of First Floor: ` Cost of Construction: $ 11247.00 Utilities: —Sewer i Septic Building Height: 20 QWNERf LESSEE: CONTRACTOR: Name Roger Wilson Name, Richard Colletti Address: 6104 Papaya Drive Company: Leakbusters Roof Repair City: Fort Pierce State: Zip Code: 34982 Fax: Phone No. Address:3420 25th Street SW City:. Vero Beach State: FL Zip Code: 32968 Fax: Phone No 7723328450 E-Mail: Fill in fee simple Title Holder on next page if different from the Owner listed above) E-Mail (chiecolletti a@gmail.coni State or County License CCC1330976 29763 It 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. SI.IPPL MENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER ENGINEER: Not Applicable — pp Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: v VV IVGK j %- IV I KAL 1 VK AF1-10V 1 i s 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. Sign5tur4 of own I L �ssee/Contractor as Agent for Owner Oignature of Contractor/License Holder STATE OF FLORIDA f l STATE OF FLORIDA COUNTY OF COUNTY OF Swvjn to (or affirmed) and subscribed before me of SvKgrn to for affirmed) and subscribed before me of P ysicaI Presence ar Qnline Notarization Physical Presence or Online Notarization this day of 202� by this - day of 0 2024 by v Name of pakson making statement. Name of person making"Statement. Personally KnownOR Produced Identification Personally Known_ OR Produced Identification Type of identificati Type of Identification Produced Produced otary is { of Notary Public t Florida )i-,,;n rt gY v� KATHEfiINE7#GG165030 t MYANY t7� �n i _,? 4FI 1G5030 Commission No. �r NSIOCommission No. j � 42 ANSI ower "Bonded through Ist REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED e_V