HomeMy WebLinkAboutBuilding Permit Applicationw
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 6:�I M - 0 11
41
�� (� (7 n RECEIVED
LUC��C �\
AUG 3 0 2021
Building Permit Application St. 1.wciecounty
Planning and Development Services permitting
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 1713 Ponce De Leon Prado
Property Tax ID #: 2421-241-0012-000-7
Site Plan Name:
Project Name: Reroof
DETAILED DESCRIPTION OF WORK:
Tear off Shingles & Reroof Metal
,1 story, installing self adhered underlayment & 1" nail strip
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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 _XRoof 1/12 Pitch
Total Sq. Ft of Construction: 1731 Sq. Ft. of First Floor:
Cost of Construction: $ 16200 Utilities: —Sewer _Septic Building Height: 9
OWNER/LESSEE:
CONTRACTOR:
Name Jacob Evan Halverson
Name: Calvin Lars Christensen
Company: Roof Doctors LLC
Address:1713 Ponce De Leon Prado
Address: P.O. Box 467
o Fierce,
City: State: _
Zip Code: 34982 Fax:
City: Jensen Beach State: FL
Phone No. 772-380-3247
Zip Code: 34958 Fax:
E-Mail:
Phone No 800-339-7326
Fill in fee simple Title Holder on next page (if different
E-Mail Roofdoctorsfl@gmail.com
State or County License CCC1326620
from the Owner listed above)
.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.
YUP{ LEM
ko■{mVoul�
Rifl��ll�
L
DESIGNS ENGINEER: _Not Applicable
NORTGAGECID MPANY: _Not Applicable
N am e:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLETITLE HOLDER: _Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City
Zip: Phone:
Zip: Phone:
.;OWNER CONTRACTOR AFFIDVIT: Applicationis hereby made to obtain a permit to do the work and Installation as Indicated.
_1 certifythat no work or installation has commenced prior to the Issuance of a permit.
St: Lucie County shakes no representation that is granting a permit wRl 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 forany restrictions which may apply.
in consideration of the granting of this requested permit 1 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 foliovdng 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 nd po fed on the Jobsite before the first inspection. if you intend to obtain financing, consult
with fend r ap—pytornev before commencing worts or recording our Notice of Commencement.
516a o° vraterl i e eJContract rittor (7vmer
.gnature of contractor/License Holder
ATE OF FLO1�iQ1� ,, ,^.'
STATE OF•F.LORIDA
COUNTY OF - 1.1 l�
COUNTY OP -Martin
'horn to (or affirmed) and subscribed before me of
S%% rid subscribed before me of
Physical Pfese a or 4nllne N tarizatlon
hysical Presence or _
this dayof 20 by
this 202 'by
% c/ZeG
,per-
,
Calvin Lars -Christensen
Ma a of erson making statement.
Name of person making statement.
Personally Known OR Produced Identificatia
Personally Kn I OR Produced Identification
'Type of fdentificati
"Type of Identi cation
Produced _„ Ad-Z&_
Produced
(Signal re of Notary Public -State of Florida }
(S rat re o Notary PublI& State of Florida)
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rey. 5/61Lu
O N
~ O
Ln
oil
w
0Edf
Zv'JbUui
\A 0
r0
y"fro