HomeMy WebLinkAboutbldg 25 permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/10/21
Permit Number:
�' LE L E R
Q__
L C' v c I✓ `z Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Shingle Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 25 Lake Vista Trl
Property Tax ID #: Lot No. 101-107/201-207
Site Plan Name: Vista St. Lucie Block No.
Project Name: Vista St Luie Bldg 25 Re -Roof
DETAILED DESCRIPTION OF WORK:
Shingle Re -Roof kmoc`5'5htVVLL zzoT'
J- D RI�.Ic i.�o�� ou ;t� cc,i 1 C o��P-� 1
_ —1— _ A tic
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
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 Pitch
Total Sq. Ft of Construction: i 1 Oho S ' Sq. Ft. of First Floor:
Cost of Construction: $ 74289 Utilities: _ Sewer _ Septic Building Height: to ff..
OWNERAESSEE:
CONTRACTOR:
Name I bm KAC_ J4Tn'1Ve
Name:Jesus Vasquez, J(
Address:"'o is-tcA -ryt
Company:All American Hoofing & Coating of FL
City: State:
Zip Code: 3� 5 t� Fax:�1
Phone No. �1Z �11� 5T'1�
Address:340 SE Seville St
City: Stuart State: FL
Zip Code: 34994 Fax: 7727814408
Phone No7727814410
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail office@allamericanroofer.com
State or County License CM 329384
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: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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
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 b ded in the public records of St.
Lucie county and posted on the jobsite before the first inspection'ff yo • tend to obtain financing, consult
with or an attorneybefore commencingwork or recordingNotice f ComrDgpcement.
i
Si ure o caner/ Lessee/Contractor as Agent for Owner
Si ture of Contr r/License Ho er
STATE OF FLORI A k
STATE OF FLORIDA
COUNTY OF
COUNTY OF
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