HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07109/2021
Planning and Development Services
Permit Number:
Building Permit Application
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 O. REROOF
mmWo
Property Tax ID #: - 4502-501_-1.3Q3-00Q-_2_.._ Lot No.
Site Plan Name: Benedetto
Project Name: Benedetto Block No.
12M" ',
Remove existing roof system&Lown to decRing. renail to code
Install hi temp underlayment-,-install 5v metal roof system
New Electrical Meter Second Electrical Meter (Affidavit required)
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 X Roof 4/12 Pitch
Total Sq. Ft of Construction: 995 Sq. Ft. of First Floor: 995
Cost of Construction: $ oc) Utilities: Sewer
Septic Building Height: 30
Name- Roberto Benedeft*
Address: 80 Commons Aly
City: Roswell State: GA
Zip Code: 30075 Fax:
Phone No.
E-Mail:
Fill in fee
from the Owner listed above)
Name: Richard Colletti
Company: Leakbusters Roof Repair
Address: 3420 25th Street _SW
City: Vero Beach State: FL
Zip Code: _32968 Fax:
Phone No 7723328450
State or County License— 29763 CCC1 330976
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: 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: Applicable
_Not
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.
l
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 attg-rmy before commencing work or recording our Notice of Commencement.
Signature _ w essee/Contractor as Agent for Owner
STATE F FLORIDA�;���
COUNTY OF
Sworn tq (or affirmed) and subscribed bef re me of Physical Presence or Online Notarization
this day of 20 bdc
�f no --
_
Name of pe son making statement.
Personally Known OR Produced Identification
Type of Identification Produced
Signature eoLbpfi
HEfi11VE HAVENS
Commission No. (goal)MISSION �GG165o3o
=8onde
ES' DEC 04.2021rough 1st Stale Insurance
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COlAPLETED