HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/05/2021 Permit Number:
Building Permit Application
Planning and development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1558 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE -ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 5309 Hummingbird Way
Property Tax ID #: 1301-602-0039-000-7 Lot No.13
Site Plan Name: OP Block No. 12
Project Name: #20704 OP
DETAILED DESCRIPTION OF WORK: -
REMOVE AND REPLACE 20 SQ OF SHINGLE ROOF WITH GAF SHINGLES FL10124-R29
USING PEEL & STICK UNDERLAYMENT (FL5259-R33) PITCH 5/12 AND RE -ROOF 3 SQ OF
FLAT ROOF WITH ROLLED ROOFING (FL5680-R30)
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping — Shutters
_ Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction: 2300
Cost of Construction: $ 8,800
_ Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
X Roof Pitch
Utilities: X Sewer _Septic Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name OP SPE TPA1, LLC
Name: MICHAEL KOST
Address: 2150 E GERMANN RD STE 1
Company: SOUTHERN PRO RESTORATION, LLC
City: CHANDLER State: AZ
Address: 9260 BAY PLAZA BLVD STE 501
Zip Code: 85286 Fax: N/A
City: TAMPA State: FL
Phone No. 844-388-4539
Zip Code: 33619 Fax: 888-490-0712
E-Mail: MICHELLE.STEWARTAOFFERPAD.COM
Phone No 813-835-1209
Fill in fee simple Title Holder on next page ( if different
E-Mail PERMITS@MYSOUTHERNPRO.COM
from the Owner listed above)
State or County License CCC1329584
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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: one:
Zip: Pho e:
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
improvement your pro erty. A Notice of Commencement must be recorded in the public records of St.
Lucie Cou and posted on he jobsite before the first inspection. If you intend to obtain financing, consult
with len r or an attorne b fore commencing work or recording our Notice of Commencement.
Signat Agent for Owner
STATE OF FLORIDA
COUNTY OF_HILLSBOROUGH
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this _5_ day of AUGUST , 20 21 by
Name of person making statement.
Personally Known X OR Produced Identification
Commission No. GG181794 (Seal) , •; ►u • lq"JAVIEK
• GS 181794
:q= pXPIRES:Eebcuary 1.2022
CF °P` BOn�edThNN�ry public ui • wntets
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