HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE' INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6. / (O'�% Permit Number:
RECEIVED
Building Permit Application JUN t 6 1011
Planning and Development Services Permitting Department
. L
Building and Code Regulation Division Commercial ResidentialStXucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Re_Roof
PROPOSED IMPROVEMENT LOCATIC►N nR Y `
Address: JG01 mura ur.
Property Tax ID #: 2427-603-0086-000-4
Site Plan Name:
Project Name:
Replace old shingle roof with new 5v metal roof.
New Electrical Meter Second Electrical Meter
Lot No. 22 & 23
Block No. 8
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 V Roof 5/12 Pitch
Total Sq. Ft of Construction: 2,086
Cost of Construction: $ 11,700
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height: 10'
01NNER%LESSEE �
NT � ,
Name Nagi S Hanna (TR) Ginger L Hanna (TR)
Name:Joseph W. Snyder
Address: P.O. Box 703
Company: Seaside Roofing, Inc.
Address:7925 SW Jack James Dr., Unit A
City: Hobe Sound State:
Zip Code: 33475 Fax:
City: Stuart State: FL
Phone No.
Zip Code: 34997 Fax: (772) 283-9421
E-Mail:
Phone No(772) 283-9599
Fill in fee simple Title Holder on next page ( if different
E-Maiijoe@seasideroofing.net
from the Owner listed above)
State or County License CCC-1329224
----- ---------- ._..--_--.-.-. �.•_, o ..�a.vnvGaJ waJUGC us uulmnenGenlent Is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SURRUMENTAL`CONSTRUCTIONf LIEN LAW INFORMATION'' T
..S..s �.. TY....-�,..-.. -�'� .- '.-+s ,. j_).e�: �' F.2 •.� ....'� hl"r S� � s.. ,..h„ .e'"�t �,ti � '�.3;�..Yv....'U ,. .e, �:. .fi $ '�nf'+A .. �.r ..�t.P%�.�1}'- Y i.. ruo. r�_%t._
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: 1
City:
City:
Zip:
I Phone:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a hermit 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 arm posted on/'he jobsite before the first inspection. If you * end to obWin financing, consult
within ier ��n attornev�efore ca(nmenr_ino wnrk nr rarnrAi-t Q \iniir3C�n+iro e%f rr%n4 nnn. --+
Sf at (Owner/ Lessee/Co actor as Agent for Owner
Sign ur ontractor/Licenserr
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this Z day of J UNi 2024 by
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Name of person making statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
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