HomeMy WebLinkAboutPermit App, UpdatedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/13/2021 Permit Number: 2104-0160
I L: Ll1LLL
" Building Permit Application
Planning and Development Services /
Building and Code Regulation Division Commercial Residential V
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7210 Reserve Creek Dr
3322 601-0020-000-9
Property Tax ID #: Lot No. 19
Site Plan Name: Block No.
Project Name: Ronald Woody
DETAILED DESCRIPTION OF WORK:
Remove Shingle roof and install Metal Roofing System
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit -check all that apply:
Mechanical Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 3320
Cost of Construction: $
23000
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Building Height: 15
OWNER/LESSEE:
CONTRACTOR:
Name Ronald Woody
Name: FRANK LEO
Address: 7210 Reserve Creek Dr
Company: Leo Roofing & Construction
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No.
Address: 3804 BURNS RD., STE. D
City: PALM BEACH GARDENS State: A
Zip Code: 33410 Fax: 561-935-9337
Phone No 561-935-4979
E-Mail:
E-Mail LEODEVELOPMENT@BELLSOUTH.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CCC1328402
If value of construction is 2500 or more, a newnL)eu 111011ce ui wuuucu�cn�. ...,-..�-•
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOl39 LFNDFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
for Owner
Signature Co tractor/License Holder
Signature of Owner/ Lessee/Contractoltjs Agent
of
STATE OF FL01�14�4 pp
STATE OF FL"D�,�
COUNTY OF k 1�'�
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COUNTY OF /I //Yl �Q,Q
The forgoing instrumen was acknowledged before me
The forgoing instruRient was acknowledged before me
this day of 20�t y
this —�_ day of 2¢k by
Q� 1 k , b
Name of person making stateme t.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of No tar,'jbPRlt? Ic- tat$ IItlF R
(Signature of Notary Public- ataW orl a HELLE SAWYER
'. Notary pu is - rate of Florida
�? ,'. N ary ublic -State of Florida
Commission No = :-s%� C°mm k��rrCC,,��==9g
Expires,3€�E 2@0
Commission No. i�� 1p' hizsion p GG 32898
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.. My Comm. Expires Sep 22, 202
Bonded through National Notary Assn.
Bonded through National Notary Assn
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19