HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/11/21
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 655 SE Sandia Drive, FI 34983
Property Tax ID #: 3419-550-0073-000-7 Lot No. 2
Site Plan Name:
Project Name: Moniz - Re Roof
DETAILED DESCRIPTION OF WORK:
RP-Rnnf / Shingle/Flat w/ Taper System
Underlayment - Weatherlock
Ridge Vent - OC Ridge Vents
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 2,097
—Gas Piping
Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Block No. 68
Windows/Doors _ Pond
X Roof 3/12 Pitch
Cost of Construction:$ $11,535 Utilities: _XSewer _Septic Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name Wendy Moniz
Name: Robert Donovan
Address: 655 SE Sandia Drive
company: Total Home Roofing
City: Port St. Lucie State: FL
Zip Code: 34982 Fax:
Phone No. 772-323-1941
Address: 5114 W Okeechobee Blvd, Suite 201
city: West Palm Beach Stater
Zip Code: 33417 Fax:
Phone No 321-452-9223
E-mail: wenmonizta7.gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail Christa0throofing.com
State or County License CCC1330489
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: 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 bgforew7mencing work or recording our Notice of Commencement.
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Signature of Owner/ Lessee ctor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to (or affirmed22 and subscribed before me of X Physical Presence or Online Notarization
this'l 1thday of HUQUSt , 2o2l by
Robert Donovan
Name of person making statement.
Personally Known X OR Produced Identification
Type of lden 'icat Produced
(SignatUrX of Notary Public- State of Florida )
Michelle Thuilsma
Commission No. HH134514 (Seal) Notary Public
state of Florida
Comma HH134514
Expires 5/25/2025
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