HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED OR APPLICATION TO BE ACCEPTED
Date
Permit Number:
'COUNTY - -- Building Permit Application
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1574 Commercial Residential _
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 3506 Roselawn Blvd.
Property Tax ID ft: 2428-702-0011-000-5 Lot No. 11
Site Plan Name:
Project Name: Johnstone/ Re -Roof
DETAILED DESCRIPTION OF WORK:
Underlayment - Weatherlock
Vent - OC Ridge Ventsure
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical
_ Electric
_ Gas Tank
_ Plumbing
Gas Piping
_ Sprinklers
—Shutters
_ Generator
Total Sq. Ft of Construction: 2019 Sq. Ft. of First Floor: _
Cost of Construction: $ $9,650.00 _ Utilities: _Sewer _Septic
Block No. 1
Windows/Doors
_& Roof 3 Pitch
Building Height: 15
OWNER/LESSEE:
CONTRACTOR:
Name Benjamin Johnstone
Name: Robert Donovan
Company: Total Home Roofing
address: 597 Haverty Court, Suite 40
Address3506 Roselam BIYd . _ -
city: Fort Pierce state: FL
Zip Code: 34982 Fax:
Phone No.434-473-3112
City: Rockledge state: F
Zip Code: 32955 Fax:
Phone No 321-452-9223
E-Mail:
Fill in fee simple Title Holder on next page ; if different
from the Owner listed above)
E-Mail Christa@throofing.com
State or County License CCC1330489
if value of construction Is $2500 or more, a RECC RDED notice or Commencement - ,eq-1—
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
City:
Zip:.
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
Zip:
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Ow r essee/Contractor as Agent for Owner
Signature of Co r or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm RParh
COUNTY OF Palm RParh
The Pii a instru�as acknowledge�t�by me
this day of 20 by
The forgoing instru ntr�G . yCds acknowledged before me
this orZ�',�-day of �I (J,�,�' 20eg1/ by
Robert Donovan
Robert Donovan
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification��
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(Signature of Nota o
(Signature of No
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Commission (Seal)
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Comson
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2///19