HomeMy WebLinkAboutAPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
still r uC�L .
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L - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
PERMIT APPLICATION FOR:Residentlal Repair
PROPOSED IMPROVEMENT LOCATION:
Address: 7752 Greenbrier Circle Port St Lucie, FL 34983
Property Tax I D #: 3322-700-0010-000-0 Lot No.5
Site Plan Name: Wilson Residence Block No.
Project Name: Wilson Residence
DETAILED DESCRIPTION OF WORK:
Remove tiles around area, remove existing cricket mod bit system, install 2,epkesof SAV, Install 1 ply of White
Granular SAP cap sheet.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply: !�/r
2 crr��efs
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric Plumbing _ Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction: ZD9, ONQ//rQ Sq. Ft. of First Floor:
Cost of Construction: $ 7900.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJerilyn Wilson Name:Dulce Lara
Address: 7752 Greenbrier Circle Company:Total Roofing Systems "The Meta{ Roof Experts" inc.
City: Port St Lucie State: _ Address:3140 SE Waaler St
Zip Code: 34997 Fax: City: Stuart State: FL
Phone No.772-872-8030 Zip Code: 34997 Fax:
E-Mail: Phone N0772-872-8030
Fill in fee simple Title Holder on next page ( if different E-Mail accounting@themetalroofexperts.net
from the Owner listed above) State or County License CCC1332346
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:
1 DESIGNE
Name:_
Address:
City:
Zip:
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:_
_Not A
icable I MORTGAGE COMPANY:
State:
Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:_
Zip:
Phone:
Not Applicable
State:
Not Applicable
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, wails, 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 bgfore commencing work or recording your Notice of Commencement.
Signature o ssee/Contractor as Agent for Owner i
S' re of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF r
COUNTY OF Oar Ir)
I
sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
his day of 12024 by
this -ifv day of /Kam = 2020 by
Name of person making statement.
Name of person making statement.
Personally Known _ OR Produced identification
i
Personally Known K OR Produced Identification
Type of Identification
Type of Identification
i Produc
Q�
Produced
(Signature of Notary ubli St to Florida f
si nature of Not c- 5' of F;arida
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Commission No. G C �} 3�! (Seall
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Commission No. GC - (seal)
REVIEWS
FRONT
ZONING
SUPERVISOR I
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
I
RECEIVED
DATE
,
COMPLETED
iev. 516/20