HomeMy WebLinkAboutBuilding permit applicationAll PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dz te: Permit Number:
10 L U1 ICUL'
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: Re -roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1928 Royal Palm Dr Ft. Pierce, FL 34983
Property Tax ID #: 2421-602-0034-000-4 — Lot No. 15
Site Plan Name: Block No. 2
Prniect Name: Burleson - 1928 @ 1928 Royal Palm Dr
DETAILED DESCRIPTION OF WORK:
Remove existing roof material to deck, renail to code. Install self -adhered underlayment, 5V rnetal and 2-Ply flat.
New Electrical Meter Second Electrical Meter -_
CONSTRUCTION INFORMATION
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 3i12 & 025/12 pitch
Total Sq. Ft of Construction: 2900 Sq. Ft. of First Floor:
Cost of Construction: $ 18,200 _ Utilities: —Sewer _ Septic
Building Height: 10�
OWNER/LESSEE: i
CONTRACTOR:
Name Timothy Burleson
Name: Douglas E. Roe
Address: 1928 Royal Palm Dr
Company: Code Red Roofers, Inc
City: Fort Pierce State: F 1,
Zip Code: 34982 Fax:
Phone No. 772-979-5261
Address: 3341 SE Slater St
City: Stuart State: FL
Zip Code: 34997 _ Fax:
Phone No 772-287-2829
E-Mail: timorcheryl@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permits@coderedroofers.com
State or County License CCC1326574
If value of construction is 2500 or more, a KtCUKUtU Notice or LOmmerlCernent iN iequn eu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:_
X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:_
Address:
City:_
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 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 attornev before commencing work or recording our Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OFFLORIDA
ORIDAMar}tom
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Sworn to (or affirmed) and subscribed before me of
Sw rat to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
_✓ Phtcal Presence or Online Notarization
n this Zlday of Tli_ 2024 by
this 27 day of Tu l4 2024 by
OL)do S E iT o e.
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Name of person making statement.
Name of person making statement.
Personally Known `,*� OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Cy�7Srt�
Produced
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(Signature of Not Public- State of Florida)
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(Signature_o Notary Pr4ff
WAO'Nota taleof Flohdt♦
Commission No.'y
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Expires oef S12021
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Rev.5/6/20