HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8110121
Permit Number-
1_:r1= �
��- Building Permit Application
Planning and Development Services
OuNding and Code Regularion INv sion Corn mercia I Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 462-1553 Fax: (772) 462-1578
F
ERMIT APPLICATION FOR: SHINGLE REROOF
ROPOSED IMPROVE 1ENT LOCATION - -
Address: 7507 LAKESIDE WAY, FT PIERCE, FL 34951
Property Tax ID #' 1 01-602-GOD4-000-3 Lot No-4
Site Plan Name: CHARLES BUIS Block No. 10
Project Name: REROOF
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING ROOF WITH NEW SHINGLE ROOF
New Electrical Meter
Second Electrical Meter
CON TRUCTpON INFOR IATION-
Additional work to be perforrned under this permit - check all that apply:
_Mechanical _ Gas Tank — Gas Piping
Electric _Plumbing !Sprinklers
Total Sq. Ft of Construction: 2,557
Cost of Construction: 7,900
OWNER/LESSEE:
NarneCHARLES BUIS -
Add ress.7 7 LAKESIDE WAY
City: FT- PIERCE State:
Zip Cade: 34951 Fax,
Ph one No. 613-528-509
Shutterswindows/Doers _ Pond
Generator Roof 4 Pitch
Sq- Ft. of First Floor. -
Utilities. 6 Sewer _ Septic Building Height-
E-Mail:
Fill in fee simple Tithe Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Marne=LEE DINENBERG
Company -FREEDOM ROOFERS
Address:5575 US H Y 1, SUITES 1 & 2
City: ►ZERO REACH State:FL
Zip Code' 32967 Fax: 772-217-4459 -
Phone No772-318-4600
E-Mail greatrool's *f reedo mrooters. corn
State or County License CCC13309M
tf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
tf value of KAVC is $7,500 or more, a RECORDED Notice of Commenrement ir, required.
UPPLE MENTAL CON TRUCTION LIEN LAIN INFORMATION'
DESIGNER/ENGINEER: Not Applicable i MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER. Not Applicable
Name:
Address:
City:
Zip: _ Phone,.
BONDING COMPANY. Not Applicable
Name;
Address:
City:
Zip: Phone,
0WNER / CONTRACTOR AFFIOVIT: Application is hereby made to obtain a permit to da the work and installation as indicated,
I certify that no work or installation has commented prior to the issuance of a permit.
St. Lucie Couptyr 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 Assouation rules, bylaws or and covenants that may restrict or prohibit such
structure, Please consult vwnth 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 ccncurrency review: room additions,
accessory structu#es, swimming poois.r fences, walls, signs, screen rooms and accessory uses to another non-residentiai use
WARNING TO OWNER.: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Native 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 lerjOer or an attorney before commenci na work or recording vour)fttice of Commencement -
Sig natGre Of Owner/ Lessee/Contractor as Agent for Owner I Signature of ContractorJLicense' Holder
STATE OF FLORIDA
CORDNTY OF - - ---Ivrm
Sworn to (Or affirmed) and subscribed before me Of
x Physical Presence or Online Notarization
this 10 day of + usT , 2020 by
LEE OINENMRG
Name of person making statement,
Personally Known x OR Produced Identification
Type of Identification
l�' �itci
STATE OF FLORIDA
COUNTY OF moon Riv> ;
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this +o day of AuGusT . 2020 by
LEE OINENaERG
Name of person making statement,
Personally Known x OR Produced lelcmdfication -
Type Of Identification
Produced
W�
(Signature of Notary Publ.
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