HomeMy WebLinkAboutBUILDING PERMIT APPLICATION i
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 07/09/2021 Permit Number:
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: Metal Re-Roof
PROPOSED I�M'PROVEMENT LOCATI;ON:
Address: 4909 Palm Drive, Fort Pierce, FL 34982
Property Tax ID#: 3402-608-0170-000-1 Lot No.26
Site Plan Name: Block No. 43
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove existing roofing material, repair/re-nail decking, install seam tape, install two layers of synthetic underlayment,
install new Premier Tuff Rib metal roofing system.
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 4/12 Pitch
Total Sq. Ft of Construction: 2400 Sq. Ft. of First Floor:
Cost of Construction: $ 14,769.00 Utilities: _Sewer _Septic Building Height:
OWN ERAESSEE: CONTRACTOR:
Name C Elroy Timmer(TR) Name:Troy Glowth
Address:482 SW Deer Run Company:Brilliant Roofing &Restoration
City: Port St. Lucie State:_ Address:4149 SE Salerno Road
Zip Code: 34953 Fax:N/A City: Stuart State:FL
Phone No.561-248-4628 Zip Code: 34997 Fax: N/A
E-Mail:celroy2@comcast.net Phone No 772-678-6654
Fill in fee simple Title Holder on next page(if different E-Mail Mail@brilliantroofing.com
from the Owner listed above) State or County License CCC1327906
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: -24, Not Applicable MORTGAGE COMPANY: k Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: I Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: X. 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 attprney before commencing work or recording our Notice of Commencement.
Signature of Owne/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF W N
Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this 01 day of J�Ly 204— by
�ro�.► ��lOt�-1'h
Name of person making statement.
Personally Known OR Produced Identification
Type of
Iden ' ication Produced
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(Signature of Notary Public-State of Florida )
Lu� p, �C�Q MEGAN LAWRENCE t
Commission No. Hn I O4 (Seal) ?:..} Notary Public-State o(Flarida
,yF� Commission#HH 90458
My Comm.Expires Apr 24,2025
Bonded through National Notary Assn.
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