HomeMy WebLinkAboutBennett - Permit App Notarized All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/09/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Re-Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6905 Plumosa Ln, Fort Pierce, FL 34951
Property Tax ID#: 1301-613-0286-000-7 Lot No. 17
Site Plan Name: LAKEWOOD PARK-UNIT 11- BLK 149 LOT 17 (MAP 13/12N)(OR 3867-2123) Block No. 149
Project Name: Bennett, Norman - Roof
DETAILED DESCRIPTION OF WORK:
Remove existing shingle roof down to decking. Re-nail existing sheathing and replace any sheets as needed. Cover
skylight hole with sheathing and roof-over. Install a self-adhered membrane, mechanically fastened. Install laminated shingle
roof system. Install ridge vent system; however, this may change if the proprty owner does not want it.
New Electrical Meter N/A Second Electrical Meter N/A
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: 2,086 Sq. Ft. of First Floor:
Cost of Construction: $ 8.575.00 Utilities: _Sewer _Septic Building Height: avg -- 11'
OWNERAESSEE: CONTRACTOR:
Name Norman D Bennett Name:Jason Morar
Address:6905 Plumosa Ln 1r- Company:Southern Roof Systems, Inc
City: Fort Pierce State: r L Address:2685 SW Domina Rd
Zip Code: 34951 Fax: City: Port St Lucie State:FL
Phone No.772-595-5597 Zip Code: 34953 Fax:
E-Mail:N/A _ Phone No 772-324-9613
Fill in fee simple Title Holder on next page(if different E-Mailjason@southernroofsystems.com
from the Owner listed above) State or County License CCC1332470
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.
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DESIGNER/ENGINEER: i 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: 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
w' h lender or an attorney before commencing work or recWing your Notice of Commencement.
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Signat re of Owner/ s e/Contractor as Agent for Owner Signature f Contrac r/ icense Ho der
STATE OF FLORIDA . STATE OF FLORID
COUNTY OF C- �- COUNTY OF �--
,�`s�° Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
APhysical Presence or Online Notarization -r'V-hysicai Presen a or Online Notarization
` ,• this O day of `cS�r>P _ 2020 by this,Q day of U;'1 e— 2024 by
cName of person making statement. Name of person making statement.
oM.g c
oPersonally Known_�/�OR Produced identification Personally Known OR Produced Identification
„� Type of Identification Type of Identification °
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( a ure of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) be L)a
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Commission No. �U (Seal) Commission No.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20