HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. LUCIE I. L O R I D A l
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 143 U Vista Ct
Property Tax ID #: 2407-312-0016-000-8
Site Plan Name:
Project Name: TD Enterprises FP LLC
OF WORK:
Remove existing shingle roof and replace with 5-V
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical
_ Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 2,305
Cost of Construction: $ 17,300.00
Residential X
Lot No.
Block No.
_Gas Piping _Shutters _ Windows/Doors
� � _ Pond
_Sprinklers _Generator Roof T/ 17 Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height: M—
OWNER/LESSEE:
CONTRACTOR:
NameTD Enterprises FP LLC
Name:Alunda Rutherford
Address:2361 Coolidge Road
Company:Davis Brothers Roofing LLC
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.
Address: PO Box 7115
City: Port St Lucie State: FL
Zip Code: 34985 Fax: 772-210-7801
Phone N0772-905-8196
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailwandap@davisbrosroofing.com
State or County LicenseCCC1332495
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: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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
withrlender or an attornev before commencing work or recording vour Notice of Commencement.
Of
as Akdnt for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFstwaa COUNTY OFStcux»
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 2<th day of May 2020 by this 2CM day of May 2020 by
AWMa Rulherlaa Alunda RulMRaa
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
(Signature of Notary Public- Stat eri4ayvwryy
ture of NotaryPublic- SL teaF ndpaa,y Pudic Sur a Fww
Commission No. GC1983W
op Notary Pubic Slats of FI
:� 'Qabruce D Panerson
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l_ Bruce D Patterson
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