HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 05/12/2021 Permit Number: 15- �Q "oyaA
91r. RECEWED
O
P ° ° 7 Building Permit Application MAY 1.4 :2011
Permitting Department
Planning and Development Services St. Lucle.County
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Metal Re-Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 36 AQUA RA DR,JENSEN BEACH, FL 34957-2621
Property Tax ID#. 4511-811-0005-100-7 Lot No.4
Site Plan Name: Block No. A
Project Name: ERWIN, RICHARD&SHARON
DETAILED DESCRIPTION OF WORK:
Main House&NEW Carport(Permit#2105-0132)Remove existing roofing material, repair/re-nail decking, install seam tape, install
synthetic underlayment,and install new and install new Premier 5V Crimp metal roofing system.
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 X Roof 4/12 Pitch
Total Sq. Ft of Construction: 1400 Sq. Ft. of First Floor:
Cost of Construction:$ 8,734.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard&Sharon Erwin Name:Troy Glowth-
36 Aqua Ra Drive Brilliant Roofing.&Restoration
Address. Company.
�I
City:-.Jensen,Beach State: 1R._ ''Address:4149,SE.Salemo Road
Zip Code. 34957 Fax:N/A City:•.Stuart State:FL
Phone No.772=360-8155 Zip Code: 34997 Fax: N/A
E-Mail:Richard,Erwin@Pepsico.com Phone No 772-678-6654
Fill in fee simple Title Holder on next page(if different E-Mail Megan@brilliantroofing.com
from the Owner listed above) State or County License CCC1327906
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 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.
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Signature of Own r/Lessee/Contractor as Agent for Owner Signature of Contractor/Licen Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 12TH day of May 2021 by this 12TH day of Mary 202t by
Troy Glowth Troy Glowth
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 A Produced
m .
(Signatu of Notky Public- j•,lorida)MEGAN LAWRENCE Signatu e O Notary Public-S
Notary Public State of Florida ^ti�Y Pue•. MEGAN LAWRENCE
''• f'�ary�Public-State of Flori a
=.�•• .,q: �g�1 mission�HH 90458 ��L�:
Commission No. HH 90458 I HH 90458-(yahlm.Expires Apr 24,202 ommisslon NO. Mmission r:HH 90458
Bonded through National Notary Assr My Comm.Expires Apr 24,20 5
r.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/15/20