HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/30/2021 Permit Number:
V 17- r.
L' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 462-iSS3 Fax: (772) 462-1S72
PERMIT APPLICATION FOR: Re -Roof
PROPOSED IMPROVEMENT LOCATION: j
Address: 122 NW Airoso Blvd, Port St. Lucie, FL 34983
Property Tax ID #: 3419-555-0006-000-2
Lot No. 6
Site Plan Name: RIVER PARK-UN!T 8- BL.K 139 LOT 6(MAP 34/28N)
Block No.139 `
Project Name: Sunstate Contractors - Roof
DETAILED DESCRIPTION OF WORK: -�
Remove existing sloped and low -sloped roof down to sheathing. Re -nail sheathing. Install self
-adhered membrane to
sloped roof area. Install shingle roof to sloped area. Install 3-ply SA modified membrane to low
-sloped area.
New Electrical Meter N/A Second Electrical Meter N/A
LCONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
—Mechanical _ Gas Tani; _ Gas Piping , Shutters _ Windows/Doors _ Pond l
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— Electric _ Plumbing _ Sprinklers — Generator Ro f 3/12 Pitch
Total Sq. Ft of Construction: 2,185 Sq. Ft. of First Floor: N/A
Cost of Construction: $ 10,000.00 Utilities: —Sewer _Septic Bi jilding Height: avg - 11'
f
UWNER/IES:SFF:
CONTRACTOR:—— ---- --
j
Name Sunstate Contractors LLC Name: Jason Morar
Address: 2697 S.W. DOMINA ROAD — j Company: Southern Roof Systems,
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1
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Inc
City: Port St Lucie StatetL Address: 2685 SW Domina Rd
Zip Code: 34953 Fax: City: Port Saint Lucie
State: FL
Phone No. 772-224-2793 Zip Code: 34953
Fax:
E-Mail: ricky@sunstatecontractors.com ;Phone No 772-324-9613
Fill in fee simple Title Holder on next page ( if different ! E-Mail jason@SOLIthernroofsyslems.com
I
I I
from the Owner listed above) I State or County License CCC1
32470
-- —
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.
u,Pl�1EM .:aA INFQf�4TlO, 77
_ _ ...
_
- Not
DESI Applicable
GNER/ENGINEER:
Name:
Address:
City: State:
Zip: Phone
COMPANY:
MORTGAGE7
Name:
Address:
City:
Zip: Phone:
—Not Applicable
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Address:
City:
_Not Applicable
Address:
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 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 thi t may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restricts Dris which may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 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 anotrier 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 vour Notice of Commencement.
Signaf`re of Ow]tler/ LKsee/Cor Tractor as Agent for Owner Signature of C'bntr'9Mr/license HoMtr
STATE OF FLORID
&�' STATE OF FLORIDA
COUNTY OF VC�• {, COUNTY OF S• VC."
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
physical Presence or Online Notarization _✓Physical Presence or Online Notarization
this L day of PVC___ __., 202� by I day of P� ZOZQ by
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 Produced
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Commission No- S a (r- ff ,^
yr Notary Public State of FRSI��a mi ion NO. I ll! ,.rr eal�otary Public State o F
r
+° Darlyne Montanero ? Darlyne Mont
aner
My commission GG s
3i� Expires 03/01/2022 �•or f o my GammisS&OP x u
REVIEWS FRONT I VEGETATION SEA TU
COUNTER R VI W REVIEW REVIEW REVIEW 'REVIEW REVIEW
DATE
RECEIVED I I
COMPLETED