HomeMy WebLinkAboutpermit (3)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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: 6637 Alheli Ct
Property Tax ID #: 1306-500-0076-000-0 Lot No. 8
Site Plan Name:
Project Name: Manchester- Re -Roof
DETAILED DESCRIPTION OF WORK:
W11111M
Underlayment - Weather Lock
Ridge Vent - OC Ridge Ventsure
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Block No. 40
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 Roof Pitch
Total Sq. Ft of Construction: 2858 Sq. Ft. of First Floor:
Cost of Construction: $ 11,995.00 Utilities: x Sewer —Septic Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name Stephen Manchester
Name: Robert Donovan
Address: 6637 Alheli Ct
Company: Total Home Roofing
city: Fort Pierce State: FL
Zip Code:34951 Fax:
Phone No. (732) 567-4160
Address: 5114 W Okeechobee Blvd, Suite 201
city: West Palm Beach Stater_
Zip Code: 33417 Fax:
Phone No 321-452-9223
E-Mail: stephenvmanchester(cDgmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-mail Christa(a1ithroofing.Com
State or County License CCC1330489
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 bylaws
rules, 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 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 commencing work or recording your Notice of Commencement.
Signature of Ow Lessee/Contractor as Agent for Owner
STATE OF FLORIDA � .y. NotatVPablIc�OofFlonda
�t, jeaaica Hill
COUNTY OF i My Commission HH 133274
at� EzDaea 05rz412025
Sworqq aff rme nd ubscribed bef me of X Physica r otarization
this 7� day of 20( by
Robert Donovan
Name of person making statement.
Personally Known X OR Produced Identification
Type ofld a Produced 0 e�—�
(Sign a otary Public- State of Flor a )
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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