HomeMy WebLinkAboutPERMIT BUILDING APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/11/21 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) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 4b1i) Palmetto Drive Fort Pierce FI 34982
Property Tax ID p: 3402-605-0043-0003 Lot No. 20
Site Plan Name:
Block No. 34
Project Name: Bee - Re Roof
DETAILED DESCRIPTION OF WORK: I
Re -Roof / Shingle
Underlavment - 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: 3,510
Cost of Construction: $ $13,695
—Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
_K Roof 12 Pitch
Utilities: )CSewer _Septic Building Height: 21;'
OWNER/LESSEE:
CONTRACTOR:
Name Janis Dee
Name: Robert Donovan
Address: 4610 Palmetto Drive
Company: Total Home Roofing
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-528-5507
Address: 5114 W Okeechobee Blvd, Suite 201
city: West Palm Beach Stater_
Zip Code: 33417 Fax:
Phone No 321-452-9223
E-Mail:_ ibscooter21 a(�att.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ChristaCalithroofing.com
State or County License CCC1330489
It 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: Applicable
Name:
_Not
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 noworkor installation has commenced prior to the issuance of a permit.
which is inoconflictawith any applicablelHome Owners Associationlru esabylaws or and covenants that prohibit such
mays estrictbor
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 attorne before commencin work or recording our Notice of Commencement.
Signature of Owner/ Less ractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to (oraffirmed) and subscribed before me of X Physical Presence or Online Notarization
this11thdayof August
2o21 by
Robert Donovan
Name of person making statement.
Personally Known X OR Produced Identification
Type of Id tific ion Produced
1741l
(Sign ure of Notary Public -State of Florida )
NlkheNa Thulisma
Commission No. HH134514 (seal) Notary Public
State of Florida
Comm# HH134514
Expires 5/25/2025
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