HomeMy WebLinkAboutPermit Application for 501 E Easy St._000105All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: SHINGLE & FLAT ROOF REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 501 E EASY ST. FORT PIERCE, FL 34982
Property Tax ID #: 3402-603-0208-000-2
Site Plan Name: INDIAN RIVER ESTATES-UNIT-02-
Project Name: 501 E EASY ST.
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering down to the wood deck and install new on shingle and flat
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.18 & 19
Block No. 3
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing
Total Sq. Ft of Construction: 3,300
Cost of Construction: $ 20,000
Sprinklers _ Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER LESSEE:
CONTRACTOR:
Name VK1
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Name: QJwl `s
Address: 15b
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Company: cJ0 �iS 0 �S
City: kr+ State: FL
Zip Code: Q� Fax:
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Addre(�s:
City: 010 LtjLA'A _ State:E!Ll
Zip Code: 3gc3 Fax: �%L�7 �a
Phone No 3LI — 6 G r (-(-
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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State or County License dC_ cy_:sO 1�
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.
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 SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 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
is in any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
which conflict with
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.
Signature of Owner/ a ee/Contractor as Agent for Owner
Ugnure of ontractor/License Holder
STATE OF FLORI
Lo
E OF FLORIDA
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COUNTY OF C.�
COUNTY OF ,S ,
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
9 Physical Presence or Online Notarization
J� Physical Presence or Online Notarization
this day of 2020 by
this day of 2020 by
P kg L ( I s
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Name df person making statement.
Name of person making statement.
Personally Known `� OR Produced Identification
Personally Known i'/ OR Produced Identification
Type of Identification
Type of Identification
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Prodlurccedd�
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(Signature of Notary P ic- Staff of.F
(Signature of Notary Pu -'
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Commission No. - (SIr '*�
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Commission No. _? _ pN#GG281fi69
o - EGX :IApril 4, 2023
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Bonded Thru ilatary Public Underwriters
PLANS VEGETATION SEATURTLE MANGROVE
REVIEWS
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REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 6/20