HomeMy WebLinkAboutLaurie Seifert Roof Permit ApplicationAII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Lueuc
v Building Permit Application
Plonning and Development Services
BuildingT ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce F134982
Phone: (7121 462-7553 Fax: (772) 462-1578
Commercial Residentiat X
PERMIT APPLlcArloN FoR: LaU fie Seifeft
PROPOSED I MPROVEM ENT LOCATION :
Address: 268 NE Solida Dr. Port St. Lucie, FL 34983
Property rax rD #. 3491-570-0027-AAA-2 iot trto. 16
stock t',1o. 74site plan Name: Re-Roof
Project Name:Laurie Seifert
Removing disposing old ng materia
lnstalling new Owens Corning Duration shingle 39 Squares Pitch 3/12
New Electrical Meter Second Electrical Meter
CONSTRUCTION 1 NFORMATION:
Addltional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
-
Windows/Doors Pond
Pitch_ Electric _ Plumbing _ Sprinklers _ Generator X Roof 3112
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction: S 19927 Utilities: _ Sewer _ Septic Building Height:
lf value of construction is 25fi) or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required.
DETAILED DESCRIPTION OF WORK:
OWNER/LESSEE:CONTRACTOR:
prr" Laurie Seifert
SOLIDA DR
City Lucie State: FL
Zip Code:34983 Fax:_
321-247-6073Phone N
E-Mail mentumsolar.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name Robert Smith
Company Momentum Solar
Address:erAve. Suite 100
City:Orlando State: FL
ZipCode: 32,822 Fax,
phone No321-247-6073
E-Mail msolar.com
State or County 7
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
StateCity:
zip Phone
orsraruen/rntGlNEER:
Name:
Address:
Phone-
X Not Applicable
StateCity
zip
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City
Phone
BONDING COMPANY:
Name:
X Not Applicable
Phone
Address
City
zip:
OWNERI CONTRA,CTOR AFFIDVIT: Apptication 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 Countv makes no reoresentation that is erantins a oermit will authorize the permit holder to build the subiect structure
which is in conflict with anv a'pplicable Home Owilers Asiociation rules, bylaws or and covenants that maV restrict or prohibit such
structure. Please consult with your Home Owners Association and review'your deed for any restrictions uihich may apply.
ln 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 additlons,
accessory structureg swirnming pools, fencet walls, signs, screen rooms and accessory uses to another non-resldentia[ use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying
in the
twice for
public records of St.
in financing, consult
improveme nts to your property. A Notice of Commencement must be corded
Lucie County a nd posted on the jobsite before the first inspecti to obta
with lender or an before commenci work or re ce mencement.
U
Sworn to (or affirmed) and subscribed before me of
Name of person making statement.
Personally Known X OR Produced tdentification
Type of ldentification
Produced-
of Florida )
Holder
COUNTY OF St. Lucie
Notarization
2O2L by
Online
(Signature of Notary P
Expires 21 2Q24
Robert Smith
STATE OF FLORIDA
Commission No..{ffieu}f;t:.#??,,
Sworn to (or affirmed) and subscribed before me ofX Physical Presence or
-
Online Notarization
this 9 day of June . 2921 by
Name of person making statement.
Personally Known
-
OR Produced ldentification X
Type of ldentification
Produced D-L.
as Agent for Owner
orida
*
CF Eonded Ihru Budg€t Seryic,:r
nature
Laurie Seifert
(Signature of Notary Public-
Commission No.
STATE OF FLORIDA
COUNTY Qf St. Lucie
t*,rr,*oror.ooo
,$pgyrission # G GgTlzls' Exirires Juty 2.1, 2Q24
oomed Iir
SEA TURTLE
REVIEW
Bridg€t Norary Sesiiris
MANGROVE
REVIEW
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
SU PPLEM ENTAL CONSTRUCTION LI EN LAW I N FORMATION :
zip: