HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COIfE\ R APPLICATION TO BE ACCEPTED
Date: l 1312'� � Permit Number: -0?A
Yll
Building-Permit'Application
-Planning and Development Services -
Building and'Code Regulation Division COII11Y12`rcial Residential x
2300 Virginia Avenue,Fort Pierce FL 34982'
-Phone:(772)462-1553 Fax:(772)462-1578 -
_PERMIT APPLICATION.FOR:
Metal Re-Roof -
PROPOSED IMPROVEMENT LOCATION:
Address:':5707 Silyer-Oak Drive, Fort Pierce, FL•34982=' =
Property Tax iID#:,3402-607=0186-000-3 Lot No.33&34
Site Plan Name:. .. s Block No. 20
Project Name: Bowen; Dale
DETAILED DESCRIPTION OF WORK'''
`Remove existing•roofing'material,"repai'r/re-nail decking, install sears tape', install'syntlietic,underlayment,and'install new
l Premier 5V Crimp metal roofing system.
New Electrical Meter Second'Electrical'Meter
CONSTRUCTION INFORMATION:
Additional work to.be performed under"this.permit—check all that apply: .
_Mechanical' r ` _Gas Tank - Gas Piping _Shutters _Windows/Doors- Pond
�-
Electric-- - Plumbing =Sprinkle'rs .—Generator. Roof--f`_5/12% _- ,` -Pitch ?
�: -
Total Sq. Ft of Construction: 3100 Sq. Ft. of First Floor:
Cost of Construction:$ 21,090.00' Utilities: _Sewer _Septic Building Height:•• «.
OWNERAESSEE: CONTRACTOR:
Dal Bo - -
e wen Tro Glowth
Name ;. . 'Name. Y
af� a P Box 1303, 5 C mpany Brilliant Roofing&-Restoration
Addy ss L - P,
'Y C'ity 'Tahoe City `State:f:L " Adddre'ss.4.149 SE�Salerno Road
,r ^"'1\ H 1. MPUIMIPr lj ! � is. S
96145 r f' •N/A Stuark, �a !,;] State:.FL
Zip Code Fax. _ City.:. g
H4897r ,ir" i'r mnur kN/A.
rPhone•No;560=4.12�1:426 �, �Zip.Gode.r �ti - '
E-Mail:db"owen0989@att.net Phone No 772-678-6654
- - ; — - -
Fill in fee simple Title Holder on next page(if different E-Mail Mail@brilliantroofing.com
-from the Owner listed above)!' State or County-License CCC1327906
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: X Not Applicable MORTGAGE COMPANY: _X. Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 piay 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 com.mencing work or recording our Notice'of Commencement.
Signature of Own e Lessee/Contractor as Agent for Owner Signature of Contractor/�'cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF M io,= '•i(�\
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization x Physical'Presence or Online Notarization
thiiss'13TH day of August 202p by this 13TH day of August 202k by
l� l7l�J�l
Name of p rsofi making statement. Name of p n ma'king statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
�. 0
(Signature of otary Public-State of Florida) (Signature of otary Public-Stat F r' a
Commission No. HH 9045 ;o � 9itiE
HH go45e p'=o� �! MEGAN LAWRENCE
1� ``((''��, Commission No. 1Seel ry Public-State of FI ri
Notary u t rida: `o`I Commission;HH 9045
c" Commissio � 4
d!rov� ' My Comm.Expires Apr 24, 0
anaed through Na ssn.
once roug ationa ota As
REVIEWS _. FRO. PLANS VEGETATION S AI UK I Lh A
COUNTER REVIEW, REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE COMPLETED
ev.