HomeMy WebLinkAbout36981-PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
F LORI D A "46
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Permit Number:
Building Permit Application
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION: `
Address:
Property Tax ID #: L Lot No.�
Site Plan Name: r Block No.
Project Name:
Re -Roof
DETAILED DESCRIPTION OF WORK:
:- :*eI
Underlayment - Weatherlock
Vent -
CONSTRUCTION INFORMATION:
Additional workto be performed underthis permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing Sprinklers _ Generator X Roof Pitch
Total Sq. Ft of Constructions--� (� Sq. Ft. of First Floor:
///., Cost of Construction: $ i7 2 � Utilities: _ Sewer _ Septic Building Height: A-
OWNERf LESSEE:
CONTRACTOR:
Name
Name: Robert Donovan
Adores _
Company: Total Home Roofing
City: State: FL
Zip Code: 1^� •1 Fax:
Phone Noted_• o[_Q L
Address: 597 Haverty Court, Suite 40
City: Rockledge State: F
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 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:
Phone:
Zip:
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
which is in conflict with any applicable Home Owners Association rules, bylaws or an
ermit holder to build the subject structure
covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed ffr
In consideration of the granting of this requested permit, I do hereby agree that I will,
any restrictions which may apply.
in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie Count
Amendments.
The following building permit applications are exempt from undergoing a full concurr
n cy 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 CO
MENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU 1
TEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT
CE OF COMMENCEMENT."
Signature of Ow r essee/Contractor as Agent for Owner
Signature of Co or/License Holder
STATE OF FLORIDA
STATE OF FLO IDA
COUNTYOF Palm Beach
COUNTY OF
The for ng instrume was acknowledged before me
this ay of 20ZL by
The forg ng instr me��_�njjjj,,,,was acknowledged before me
this ay of 20 ZI by
Robert Donotan
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
(Signature of Notary Publ' ate of FI '
GNRtSTA•i'Y�S $ g30aa3
CommissionNo.GG9 ; VYf�miSSM cht�2^aeha`yu
g .r io`p EXPmStNeNOtsNPab6c
_
(Signature of NoPubiic-Stat Florid _ 14 SaMpNBON
mmissionNo.GG CHR15jC#OOg30883
3x°` •.:, D�'C0 B pAarch10,202A C
F.: EXPIRE abllclh�d¢N+�il ',.
REVIEWS
'4rp
FRONT
pt�,.••
NG
SUPERVISOR
PLANS
i,^�ir
.�f
VEGETATI
w`;+' Bond¢
Pp .
E
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
rev.