HomeMy WebLinkAboutpermit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�t. U1M
of
• `' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: reroof
' �r 3r'
Address: 3701 Avenue L
Property Tax ID #: 2405-601-0590-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Hagwood - 3701 Ave L
DETAILED DESCRIPTION OF WORK:
Remove existing slope & flat roof to deck-, renail to code. Install SA underlayment, & architectural shingles.
Install 2ply tapered flat roof.
New Electrical Meter Second Electrical Meter
IITUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_Mechanical _
Electric Plumbing _ Sprinklers _ Generator V/ Roof 4 Pitch
Total Sq. Ft of Construction: 1600 Sq. Ft. of First Floor:
Cost of Construction: $ 15000 Utilities: —Sewer —Septic Building Height: 10,
OWNERXESSEE: CONTRACTOR:
Ronald & Shirley Ha wood
Name g
Name: Douglas E. Roe
Address: 3701 Avenue L
Company: Code Red Roofers, Inc
Address: 3341 SE Slater St
City: Fort Pierce State: ri�
City: Stuart State: FL
Zip Code: 34947 Fax: -
Phone No. 772-302-5592
Zip Code: 34997 Fax:
E-Mail: -
Phone No 772-287-2829
Fill in fee simple Title Holder on next page ( if different
E-Mail Permits@coderedroofers.com
from the Owner listed above)
State or County License CCC1326574
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: x Not Applicable MORTGAGE COMPANY:
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
Citv-
Zip: Phone:_
State
X Not Applicable
Name:
Address:
Citv:
Zip: Phone:
x Not Applicable
State:
BONDING COMPANY: X Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the work ana inbLdildLIU11 d� 111Ul OL«U.
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
L, f mm rina %Ainrla nr rarnrriina vnur Notice of Commencement.
with lender ur dfl dLLUI I My UCIUIC %-Ul 1 l l 111 11l 1' •v
F
Signature of Owner/ Lessee/Contractor as Agent for Owner
ature of Contractor/License Holder
STATE OF FLORIDA
M
STATE OF FLORIDA
COUNTY OF niQr4ln
COUNTY OF
Swo to (or affirmed) and subscribed before me of
Swoy�i to (or affirmed) and subscribed before me of
✓✓
Physical Presence or Online Notarization
this 30 day of —JC.✓k, , 202p by
Physical Presence or Online Notarization
this laday of V1'# 1Z 2021 by
tement.
Name of perso :70R
tement.
Name of pe n mak7OR
Personally Known Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
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( atur of Notary Public- St da ) DAYNAJ.REGIS
Produced
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Commission # HH 05332
Commission No. N.� 4�ed October 14, 202
r mission # HH 05332
Commission No. Seej Tres October 14, 202
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