HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _______ _ 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: ROOF REPLACEMENT
PR OPOSED IMPROVEMENT LOCATION:
Address: 702 Ramie Ct., Port St Lucie, FL 34952
Property Tax ID#: 3419-515-0082-000-4
Site Plan Name : Nicklow
Lot No. 18 ----
Block No. 22 -----------------------------
Project Name: Nicklow ---------------------------------
I DETAIL ED DESCRIPTION OF WORK:
Roof replacement -shingle to metal w/ flat
New Electrical Meter ____ Second Electrical Meter _____ _
CONST RUCTION 'INF.ORMATION:
Additional work to be performed under this permit -check all that apply :
_Mechanical
Electric
Gas Tank ·
_Plumbing
_ Gas Piping
_Sprinkle'rs
Total Sq. Ft of Construction: .;] I QO SF
Shutters
Generator
Windows/Doors Pond
Roof 3/12 · Pitch ----
Sq. Ft. of First Floor: _________ _
Cost of Construct ion :$ 15350 --------Utilities: _ Sewer _ Septic 1:-i' Building Height:_.__-~---
OWNE R/L ESS EE: ,
Name Brandon ·& Kim oerly Nicklow
Address: 702 Ramie Ct.
City: Port St. Lucie St ate:
Zip Code : 34952 Fax:. _______ _
Phone No. 772-201-8225
E-Mail: _______________ _
CONTRACTOR: _ . . ,.
Name: Frank Leo
Coin pany: Leo Roofi ng & ConsJructior:i.
Addr~ss: 3804 Burns .Rd ., Ste .. D 1
.
City : Palm 'Bch Garde.ns :•• .. · State :~
Zip Code: _3_34_1_0 ____ Fax : (561) 935-9337
Phone No (561) 935-4979
Fill in fee simple Title Holder on next page ( if different E-Mail leodevelopment@bellsouth.net
from the Owner li sted above) State or County License_C_C_C_1_32_84_02 ______ _
If va lue of construction is 2500 or more, a RE CORDED Notice of Commencement is requ ired.
If value of HAVC is $7 ,500 or mo r e, a RECO RD ED Notice of Commencement is required.
SUPPL EM ENTAL CON STRUCTION LI EN LAW INFORMATION:
DESIGNE R/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address : Address :
City : State: --City: State: --Zip : Phone Zip: Phone :
FEE SIMPLE TITLE HOLDER: _ Not Appl icable BONDING COMPANY: _Not Appl icable
Name: Name:
Address: Address:
City : City:
Zip: Phone : Zip: Phone:
OWNER/ CONTRACTOR AFF IDVIT: Application is hereby made to obtain a permit t o do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. _Luc!e _County _mak_es no repr e~entation that is granting a permit w ill authorize the permit holder to build the subject structure
which 1s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
st ructure . Please consult with your Home Owners Association and review your deed for any restr ictions which may apply.
In consideration of the gr anting of this requested perm it, I do hereby agree that I will, in all respects, perform the work
i n 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 attorne before commenc i n work or recordin our Notice ofL ommencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLO ~DA b couNTY oF ~lrh t ac
Sworn to (or affirmed) and subscribed before me of
Physical Pre ~~e or __ Online Notarization
this a22_ day of / T l fAAJ , 202f by
~COhd® Nicklou:>
Name of person making statement.
Personally Known OR Produced Identification __
Type of Identification
Produced _________ _
Commission No.
Signature of Contractor/License Holder
STATE OFFLORl ii~ & j, COUNTY OF · h:) _fll
Sworn to ( or affirmed) and subscribed before me of
...!'.'.:._ Physical Presence or __ Online Notar ization
this day of mllj , 202~ by
t (Qh~ L-ro
Name of person maki ng statement.
Personally Known~ OR Produced Identification __ _
Type of Identification
Produced __________ _
Commission No. \\1·\Q·f4'57~
. ..) MICHELLE SAW'(
.\ Notary Public -State o ea I\ Comm ission # HH
~.r,;../ f;fy Comm. Expires Oct
Bonded through National Not
REV IE WS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW
MANGROVE
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