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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/2/21 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 -Phonee 4-772+ 62-a er-cial _ Residential—X PERMITTYPE: Re -Roof Shingle PROPOSED IMPROVEMENT LOCATION: Address: 5700 Oleander Ave Fort Pierce, FI 34982 Property Tax ID #: 3410-603-0002-000-3 Lot No. 1,2 Site Plan Name: Block No. A Project Name: Re -Roof DETAILED DESCRIPTION OF WORK: Re -Roof Shingle Underlayment - Weatherlock Ridge Vents CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: Mechanical Electric Total Sq. Ft of Construction Gas Tank Plumbing 2721 Cost of Construction: $ 11,914 _ Gas Piping Sprinklers Shutters Generator Sq. Ft. of First Floor: Utilities: —Sewer —Septic Windows/Doors X Roof 5_/12 Pitch Building Height: 25' OWNER/LESSEE: CONTRACTOR: Name Roy Sowders Name: Robert Donovan Address: 5700 Oleander Ave city: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No. .772-204-1704 Company: Total Home Roofing Address: 597 Haverty Court, Suite 40 City: Rockledge State: F Zip Code: 32955 Fax: Phone No 321-452-9223 E-mail: rowsowders1950@yahoo.com 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 CM 330489 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: I DESIGNER/ENGINEER: _ Not Applicable Name:_ Address: City: Zip: Phone State FEE SIMPLE TITLE HOLDER: Not Applicable Name:_ Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone:. BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable tate: _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, 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 COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Own r essee/Contractor as Agent for Owner Signature of Co r or/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Palm Beach COUNTY OF Palm Beach The for oing instrume t was acknowledged efore me dune The forgoing instrument was acknowledged before me 21 this day of 23 2ty this 2 day of June 26 by Robert Donovan 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 Public- State of Florida) (Signature of Notary Public St o �o Notary Publlt Commission No.GG930883 (Seal) Commission No. GG930883 0 -State ofFlorlda Comm# H El l Expires 1/6120 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/ //19