HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/15/2021
O
Permit Number-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR:Reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 3003 Langston Dr
Property Tax 1D #: 1432-807-0081-000-8
Lot No.323
Site Plan Name: SHERATON PLAZA -UNIT FOUR REPLAT LOT 323 (OR 1550-1666)
Block No.
Project Name: Reroof Davis
DETAILED DESCRIPTION OF WORK:
4112 Pitch, Tear off & Reroof shingles, install self adhered underlayment & 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 i Roof 4 Pitch
Total Sq. Ft of Construction: 1802
Sq. Ft. of First Floor:
Cost of Construction: $ 8000 Utilities:
—Sewer _Septic Building Height: 10
OWNER/LESSEE:
CONTRACTOR:
Name Joe Davis
Name:Calvin Lars Christensen
Address:415 NW Greenmeadow Dr
Company: Roof Doctors
p Y�
City: Lawton OK State:
Address: PO Box 467
_
Zip Code: 73507 Fax:
City: Jensen Beach FL
State:
Phone No.
Zip Code: 3495$ Fax:
E-Mail:
Phone No800-339-7326
Fill in fee simple Title Holder on next page ( if different
E-Mail roofdoctorsf!(§gmail.com & reliablepermitting@yahoo.com
from the Owner listed above)
State or County License CCC1 326620
if value of construrtinn is 7snn — --- , nrr nnnrn RI -a•-- _Y
-- - I—1-11CIFLCHIeFit Is requirea.
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
Address:
Name:
Address: w
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ rnNTRArTnQ A[cintirr.
- - - - - --- -- • -
• - . ■ •-NNIM-CuufI Iz) nereoy mane to oatarn 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
with lender or an attorney before commencing work or recording your Notice.-af-eomiyrPrrr. of
Signature of Owner Lessee/Contractor as Agent for Owner
STATE OF FLORI
COUNTY OF
sworn to (or affirmed) and subscribed before me of
Ph sical Presence or Online Notarization
this ay of 202 f by
Joe M Davis \7
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced���,--��^i
Pwl4gre of Notary:P bIic-_State of Florida )
Commission No. J, 0 (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
COMPLETED
ev�TfiS--
Signature of Contract /License Holder
STATE OF FLORIDA
COUNTY OF t
a
Swor to (or affirmed) and subscribed before me f g
Physical Presence or Online Notariza u
this day of 2020 by a
Calvin Lars Christensen Z
A Q
Name of person making/statement. P
IZP
Personally Known V OR Produced Identifi c 5=
Type of Identification vr8
Produced
(Signattr# of Notary Public- State of Florida )
Commission No. Vk 14 Cg��C' (Seal)
1U1ERVI50R PLANS I VEGETATION SEA7URTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW