HomeMy WebLinkAboutPermit Application51: TUCLE -A
AII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721 462-7553 Fax: 1772\ 462-1578
Commercial Residential X
CBDG Funding
PERMIT APPLICATION FOR: Reroof
PROPOSED IMPROVEM ENT LOCATION :
Address: 81 13 Alister Pl.
Property Tax lD #:3327-7A7-0035-000-7 tot trto.31
Site Plan Name:Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove tile roof and renail lnstall 30# felt and self adhe tile
Estate tile using two screws.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION I N FORMATION :
Additional work to be performed under this permit - check allthat apply:
_Mechanical -
Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
x Roof 6112 Pitch_ Electric _ Plumbing _ Sprinklers _ Generator
Sq. Ft. of First Floor:Total Sq. Ft of Constru ,tion, 4Ll 00
Cost of Construction, S 37r99Q.09 Utilitiesi _Sewer _Septic Building Height:
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
Nsms Tirnothy Grady
Address: 8113 Alister Pl.
City: Port St. Lucie StAtC: FL
ZiP Code: 3498G Fax:
Phone No.772-384-3429 E.
1y1s;1. tlgrady23@aol.com
Fill in fee simple Title Holder on next page {if different
from the Ownq,r listed above)
Name: David PacKard
Company:Packard Roofing & Waterpoofing, Inc.
Address: 2182 NW Reserve Park Trace
City:Port St. Lucie State: FL
Zip code: 34986 p7y. 772-468-9978
phone No 772-468-3723
E-Ma il ssmith@packardroofi ng.com
State or County 1-issn5s CCCA17517
N LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
X Not Applicable
Addt
City:
Zip:.
ressl
State:
Phone
MORTGAGE COMPANY: ^ Not APPlicable
Name:
Address:
City:
Zip:.
State:
Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip:.Phone:
BONDING COMPANY: ^ Not APPlicable
Name:
Address:
Phone:
OWNER/ CONTRACIOR 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 Countv makes no representation that is granting a permit will ar.rthorize the permit holder to build.the subject structure
which conflicts'with anv aoplicable Homeowners l\ssociation rules, bylaws or ancl covenants that may restrlct or pronlDrr sucn
itruilture. pie-atd consuh rifth iour Homeowners Association and ieview your deed for any restrictions which may apply.
ln 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 ipproved 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
RNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A N.otice of Commencement.must be recorded. in the puplic 19
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in
imorovements to vour oropertv. A Notice of Commencement must be iecorded in ihe public records of St.
Luiie County and 6osteil on the jobsite before the first inspection. lf you intend -to obtain financing, consult
with lender or an a before com work or record Notice of Commencement.
ractor as Agent for Owner
STATE OF FLORIDA
COUN1y OF St. Lucie
and subscribed before me of X Physical Presence or
-
online Notarization
mber zo21 by
ft
Name of person making statement.
./
Personally Known / OR Produced ldentification
Type of ldentification Produced
(Signature of Notary Public- State of Florida)
Commission No.(Seal)
STEPHANIE P SMIIH
Notary Public - State ofFlorida
Commission # G6 1J9524
My Comm. Expires Sep 2, 2021
Bonded th.ough National Notary,Asm.
MANGROVE
REVIEW
DATE
COMPLETED
Sworn te (or affi
thi*td day of