HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
-: LUCM
° - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMITAPPLICATION FOR: RE-ROOF
PROPOSED IMPROVEMENT LOCATION:
J Address: SOSR SEARS ST
Property Tax ID#: 2419-341-0017-000-2 Lot No.
Site Plan Name: Block No.
Project Name: LEE
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND REPLACE WITH 1" 24GA STANDING SEAM
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters -Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator —X Roof 5/12 Pitch
Total Sq. Ft of Construction: 2,260 Sq. Ft.of First Floor: 2,260
Cost of Construction: $ 18,000.00 Utilities: —Sewer _Septic Building Height: 16
OWNER/LESSEE: TRACTOR:
Name PF.NNTF. R i.FF Name: ALUNDA RUTHERFORD
Address:5058 SEARS ST Company: DAVTS RROTHFRS ROOFING T T C
City: FORT PIFRCF State: FL Address: Pc)Roo 7115
Zip Code: 34981 Fax: City: PORT ST LUCIE State: FL
Phone No. E- Zip Code: 34985 Fax: 772-210-7801
Mail: Phone No 772-905-8196
Fill in fee simple Title Holder on next page (if different E-Mail PATTRRS0NRW415 CMATi COM
from the Owner listed above) State or County License CCC1332495
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 conflicts with an�applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consu t with your Homeowners 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 qounty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with WMer or an attqrfley before commepcing work or recording our Notice of Commencement.
2"
ature of Owner/Lessee/Contractor a gent for Owner
STATE OF FLgR�pA
COUNTY OF ate. UC.-k
Swor (or affir d)and s scribed before me of Physical Presence or Online Notarization
this day of 202L by
Name of person maki g statemen .
Personally Known ✓ OR Produq4d Identification
T f Identificatio ro c
(Signature of Notary Public-State of Florida)
Commission No.CtM51414fseal) PO,%
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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