HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (� `Z J' �-1 Permit Number:
9Uo WOE � RECEIVED
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o . . o, • JUN 2 5 2021
- Building Permit Application
St.Lucie-County
Planning and Development Services Permitting
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:RE ROOFING
aPROROSED'IMPROVE"M+ENT LOCATION
Address: 7407 Kenwood Dr Fort Pierce, FL 34951
Property Tax ID#: 13028100084000.9 Lot No.9
Site Plan Name: Block No. D
Project Name:
DETAILEDDESCR`IPTION OF WORK rf ,
REMOVAL OF THE EXISTING SHINGLE ROOF AND INSTALL NEW STANDING SEAM METAL ROOF
New Electrical Meter Second Electrical Meter
fCOWRUC7ION I'NFORIUI"ON. ,
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 5/12 Pitch
Total Sq.Ft of Construction: C/ Sq.Ft.of First Floor:
Cost of Construction:$ 22,000 Utilities: —Sewer" _Septic Building Height:
:'OWNER/LESSEE CONTRACMI'OR . t
Name KIM KGIFT µName:RAUL LICONA
Address:7407 KENWOOD DR Company:DEPENDABLE ROOFING
City: FORT PIERCE FLORIDA State:_ Address:PO BOX 650883
Zip Code: 34951 Fax: City: VERO BEACH, FLORIDA State:
Phone No. Zip Code: 32965 Fax: 772 2990658
E-Mail: Phone N0772 569 0880
Fill in fee simple Title Holder on next page(if different E-MailVLL75989BELLSOUTH.NET
from the Owner listed above) State or County LicenseCCC1325690
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.
C
>SUPPLEMENTAL CONSTRUCTION LIEN LAW IRFORMATION„ -
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.
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 rei;Kding your Notice of Commencement.
I
Signature of Owner/Lessee/Contractor as Agent for Owner Si nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA.
COUNTY OF COUNTY OF STLuaE
Sworn to(or affirmed)and subscribed before me of Svydrn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization ✓✓ Physical Pres nce or Online Notarization
this day of 2020 by this day of E— 2026 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Iden ' ' tion
Produced Produced
(Signature of Notary Public-State of Florida} (Signature of Notary P
KAREN S. NIELSEN
Commission No. (Seal) Commission No. '�0' GA`�;State o(_%al�a-Notary Public
=* *� Commission # GG 207484
+.f P My Commission Expires
2 I i" June 022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev.5/6/20