HomeMy WebLinkAboutANNIE DAVIS BUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/19/21
Permit Number:
4V. [LCOCA
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:
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Address: 100 Bedford DR Fort Pierce, FL 34946
Property Tax ID #: 1432-801-0013-000-3 Lot No.10
Site Plan Name: Annie Anderson -Davis Block No.
Project Name:
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 Roof 5/12 Pitch
Total Sq. Ft of Construction: 1,456 Sq. Ft. of First Floor:
Cost of Construction: $ 20000 Utilities: —Sewer —Septic Building Height:
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Name Annie Anderson -Davis
Name:DonaidHaight
Address:100 Bedford DR
Company: Roofing & Reconstruction Contractors of America. LLC
City: Fort Pierce State: R
Zip Code: 34946 Fax:
Phone No. 772-801-4900
Address: 1951 d & C Blvd
City: Naples State: FL
Zip Code: 34109 Fax:
Phone No 239-449-6301
E-Mail:
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail eve.engelhart rrcaflorida.com
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.
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MORTGAGE COMPANY: _
Name:
Not Applicable _
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _
Name:
Not Applicable
BONDING COMPANY: —Not
Name
Applicable
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 maicateo.
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,
accessary 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
for Owner
STATE OF FLORIDA
COUNTY OF Collier
Sworn to (or affirmed and subscribed before me of x Physical Presence or _ Online Notarization
this, 19iiday of JAY 20_21 by
Donald Nal,'AM
Ki e-�Fperson making statement.
Personally Known OR Produced identification X
Commission No.964348 (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
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SUPERVISOR REVIEW REVIEW I VEGETATION EVIEWI SE REVIEW LE I MANGROVE