HomeMy WebLinkAboutBartow St 2103, Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
S ITC IL CsCQIS
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Permit Number:
Building Permit Application
Phone: (77Z) 462-1553 Fax: ( ) 6 -1578
Commercial
I PERMIT APPLICATION FOR.a
Reroof
L
PROPOSED IMPROVEMENT LOCATION:
Address: 2103 Bartow St, Fort Pierce, FL 34982
Residential V
Property Tax I D #: 3402-610-0587-000.4 Lot No. 19
Site Plan Name: Block No. 89
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering, dry in with self adhering underiayment and install new asphalt shingles.
New Electrical Meter Second Electrical Meter
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 Pitch
Total Sq. Ft of Construction: 2300 Sq. Ft, of First Floor:
Cost of Construction.- $ 11,465
Utilities: _Sewer � Septic Building Height.
OWNER/LESSEE: CQNTt ACTOR:
Name Linda Boller Name: Michael Miller
Address:2103 Barlow St company:Trade Winds Roofing, Inc
City,$ Fort Pierce - - State: Address:P-0- Box 13208
Zip Code: 34982 Fax: c;ty; Fort Pierce State: FL
Phone Na. 772-528-7253 Zip Code: 34979 Fax:
E-Mail: Phone No 772466-9420
Filli'n fee simple Tithe Holder on next page if different E-Mail mike@tradewindsroofing.com ! affice@tradewirtdsroofing.com
from the Owner listed above) State or County license C.CC057399
&' w9-m1LA%:: A %ram!IZILI U%wL1W11 1 VU V f ITI FUp d MitLUr UU; No-Eice OT LOmmencement is required.
If valf HAVC is $7,,500 or more,, a RECORDED Notice
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _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.
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 orprohibit such
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structure. Please consult wrth your Home Owners Association and review your deed for any restrictions which may aply.
In consideration of the granting of this requested permit, I do hereby agree that 1 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, waifs, 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
improvemenfis 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 u intend to obtain financing, consult
with lender or an attorney b§?fore commencin 9
work or recording y r Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/license Holder
STATE OF FLORID STATE OF FLORID /
COUNTY OF �" UA COUNTY OF
Sworn (or affirmed) and subscribed before me of
thisPysical PreVnce or Online Notarization
day of tk..Ii%-,� 2021 by
Name of person making s�ratement.
Per sonay Known
-- - --
lf
Type of Identification
Prodwced __
arc rroaucea iaentltication
Sworn or affirmed} and subscribed before me of
h�ysical Pres nce or Online Notarization
this lr-day *. of 202t by
Name of person making t t ent.
Nersonalty Known
Type of identification
Produced
G`
-'.. iz..
UK Nroduced Identitication
(Signature of Notary Public- Stwate a Felicia Lyne W-Ilkin----� (Signature of Notary Public- StaAf
te o rida
NOTARY PUBLIC t yq Felicia -- Lyne Wilkie
Q NOTARY PUBLIC
Commission No. � ; i ( PTA OF FLORIDA Commission No. TE OF FLORIDA
,0 Comm# GG10386d ''- y , Comm# GG103860
4'C
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURT OVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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