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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 05/12/2021 Permit Number: a�d5' �ya1 RECEIVE© ��o b�1C�DL MAY 1.4 :2021 o V . o.. p ) tt PermltNng Department Building Permit Application St.LudeCounty Planning and Development Services 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: 204 RIOMAR DRIVE, PORT ST. LUCIE, FL 34952 Property Tax ID#. 3419-515-0095-000-8 Lot No.5 Site Plan Name: Block No. 23 Project Name: INGERSOLL, LAURA DETAILED DESCRIPTION OF WORK: 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 Roof 3/12 Pitch Total Sq. Ft of Construction: 1900 Sq. Ft. of First Floor: Cost of Construction:$ 10,654.00 Utilities: —Sewer —Septic Building Height: OW N ERAESS�EE; CONTRACTOR: , Name Laura Ingersoll Name:Tr(?y:Glowth 204.Riomar Drive , Brilliant,Roofin &�.Restoration Address: Company 9. city: Port$t.,Lucie_ _ State: 'Address:4149 SE Salerno Road Zip Code:.34952 Fax:N/A City:. Stuart- State.FL ph&o No.561-401-6064 Zip Code: 34997 Fax: N/A E-Mail:ingersolllaura7@gmail.com Phone No 772-678-6654 Fill in fee simple Title Holder on next page(if different E-Mail Mail@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. Signature of Owner/Les a/Contractor as Agent for Owner Signature of Contractor/ "cense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Martin COUNTY OF M.,Un 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 ,202� by this 12TH day of May ,2020 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 Produced I 1 (Signature o tary Pu i.e� �fN lori RENCE (Signatur of otary Pu NI-1tary u lic-State of Florida P •.,Commission=HH 90458 .,a� 1��: MEGAN LE4HH NC:,d Commission No. HH 9045 M Coo ires Nota PFt@& of a y itw�${�j Apr 24,2025 Commission NO. HH 9045 :' 'a ry r�" 9onded through National No :� Com tsston 90g tary Assn. " °' My Comm.Expir 2025 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. I