HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
UL
Building Permit Application pp �: P _z
Planning and Development Services rr
Building and Code Regulation Division Commercial XX Residential '-,\
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Re-roof
.
PROPOSED IMPROVEMENT LOCATION Y.
Address: 7370 S US Hwy1, Port St Lucie, Florida
Property Tax I D#: 342213400030008 Lot No.
Site Plan Name: Block No.
Project Name:
�. TAILFD 13ESCR1PT10N OF 1NORK
remove existing roof, renail, install peel-n-stick underlayment
and 26 ga -'5V crimple metal roofing system
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 _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator X Roof Pitch
Total Sq. Ft of Construction: 1040 Sq. Ft.of First Floor:
Cost of Construction:$ �V Utilities: —Sewer —Septic Building Height: 18
0til`NE° 1 LESSEE Cf3N T RACTOR
Name Ronnie Laneve Name: Richard Newland
Address: 2241 se Gowin Dr Company: Richie the Roofer Inc
City: Port St Lucie, Florida State:_ Address:an,j a Ott,
Zip Code: 34952 Fax: City: Vero Beach, FI State:
Phone No. 772-475-7869 Zip Code: Fax:
E-Mail: Phone No 772-473-6197
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License CCC058021
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.
SIPPLEMENTAL CONSTRl1CTI0N LIEN LAW fNfORMA�fIOhf.
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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: 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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectioDelf you intend to obtain financing,consult with lender or an attorney before
commencing V
914ig
ZPdc-ordingour Notice of Commencement.
Si ture of Owner/Lessee/Contractor as Agent for Owner ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF :5::Z. L V-6 1 Lr, COUNTY OF
The forgoing instrument was acknowledged before me The fo going instrument was acknowledged before me
this
/ day of `
-_!Ty � .20� by day of 20 L by
� /'CGyniZ Lam" L�^/EVr
Name of person making statement Name of person making statement
Personally Known_j�OR Produced Identification Personally Known 4---�0—R Produced Identification
Type of Identification Type of Identification
Produced Produced
( re of N Public-State of Florida (Signature of NomffiE
JENNIFER D.HOFFELDER f Florida
Commission No. *(Scalnuon#HHQ?A2$1 Commission No. ®r+
Expires July 27.202 t112M
Orin 4TNu&4dt�ltry80YlW
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.S/2/17