HomeMy WebLinkAboutNEVERISKY BUILDING PERMIT APP All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/23/21 Permit Number:
01ro LSl 1�Ll5
O
ff 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: Reroof
P®SEDIIVIj?R,OUE)V1ENTLOCTI®T�l ,4�. � 4 , Dow-
Address: 7102 Fort Walton AVE Fort Pierce, EL 34951
Property Tax ID#: 1301-612-0158-000-8 Lot No.6
Site Plan Name: LAKEWOOD PARK Block No. 125
Project Name: Joseph S Neverisky
Remove and replace roof, shingle to shingle.
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 5112 Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 20000 Utilities: _Sewer _Septic Building Height:
OWNER`�LESSEE= � CONTRACTCIR 1�� �
Ycx.ns. s-wx..�-.y_ r�..tiaQ $ �€-a :`^' Yera' '1 #a
NameJoseph S Neverisky Name:Donald Haight
Address: 7102 Fort Walton AVE Company:Roofing&Reconstruction Contractors ofAmerim LLC
City:Fort Pierce State: FL Address: 1951.I&C Blvd
Zip Code: 34951 Fax: City:Naples State:FL
Phone No. 772-801-5330 Zip Code: 34109 Fax:
E-Mail: Phone No 239-449-6301
Fill in fee simple Title Holder on next page(if different E-Mail eye,enaelhart rrcaflorida corn
from the Owner listed above) State or County License CCC1330395
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.
ULEGSi T
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 ppermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assocation 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-residentlal 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 attorneybefore commencn work or recording our Notice of Commencement.
Signature of Owner/Less a/Co tractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Collier
Sworn to(or affirmed)and subscribed before me of X Physical Presence or_Online Notarization
this 23 dal of
y of, JULY 2021 by
i �t n al a VIA-
Name of person making stateJnerit.
Personally Known OR Produced Identification X
Ty of Identification Pr
A
na f Notary Public-State of Florida)
Commission No.964348 (Seal) 2o� b4E EVEA.ENGELHW
. « Commission#GG96"
Exphs March 2,2024
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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