HomeMy WebLinkAbout37067-PERIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
- j
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Re-Roof/Shingle/Flat
PROPOSED IMPROVEMENT LOCATION:
Address: 202 Essex Drive
Permit Number:
Building Permit Application
Commercial Residential X
Property Tax ID #: 1432-805-0092-000-2 Lot No. 92
Site Plan Name: Block No.
Project Name: Hatten - Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -Roof
Underlayment - Weatherlock
Vent - Off Ridge
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 2656
Cost of Construction: $ $12,270.00
Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Windows/Doors
X Roof 411 9 Pitch
Building Height: IS r
OWNER/LESSEE:
CONTRACTOR:
Name David Hatten
Name: Robert Donovan
Address202 Essex Drive ___ _
Company: Total Home Roofing
City: Fort Pierce state: FL
Zip Code: 34946 Fax:
No. 772-584_-4239
Address: 597 Haverty Court, Suite 40
City: Rockledge State: IF
Zip Code: 32955 Fax:
Phone No 321-452-9223
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Christa@throofing.com
State or County License CCC1330489
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
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:
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, 1 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_"
Signature of Ow r essee/Contractor as Agent for Owner
Signature of Co r or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm Beach
COUNTY OF_Pa1rn Reach
The for oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisA day of 20 ,1 by
this J day of 20ZJ by
Robert Donovan
Robert Donovan
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
CHRWA-LYN SKILMONSON
I qY (g4i113510N GG 930t3B3
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EXPIRES: 10, 2024
(Signature of Notary Public- Sta f F 5A}.�
[ ignature of o ry u
Commission No.GG CH SON# �0,04
M�ecw
GG930883
Commission No. (Seal)
REVIEWS
FRO
ING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTWWO
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19