HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/4/21 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Betty Duncan
PROPOSED IMPROVEMENT LOCATION: Re -Roof
Address: 2315 North 49th Street, Fort Pierce, FL. 34946
Property Tax ID #: 1431-701-0170-000-1
Site Plan Name: 2315 North 49th Street, Fort Pierce, FL. 34946
Project Name: Betty Duncan Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -roof residence about 19.5 square with Architectural Shingle Roof System
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
X
Lot No.
Block No.
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 Pitch
Total Sq. Ft of Construction: 1950
Cost of Construction: $ 10,725
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Betty Duncan
Name: Luke McConnell
Address:2315 North 49th Street
Company:Modtek Roofing
City: Fort Pierce State: _
Zip Code: 34946 Fax:
Phone No. 772-971-2070
Address: 1360 Old Dixie Hwy SW
City: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone N0772-213-8437
E-Mail: bettyjdunca1@att.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail needroof@modtekinc.com
State or County License CCC1 326977
•• --•--• --•—�••��•���•.+•... +vv v, euvsc, a nr%,vnvw iwuce or Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
_ER
DESIGI�IER/ENGINE: Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER- _ Not Applicable
BONDING COMPANY: X 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 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 attorney before commencing work or recording our Notice of Commencement.
ignature of O ner/ Lessee/Contractor as Agent for Owner
ignature of Co tractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF�tc
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
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Physical Presence or Online Notarization
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Name of person making statement.
Name of person making statement.
Personally Known e/ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
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