HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE-ACCEPTED
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Date: �� 1 12S IiA Permit Number:
RECEIVED
o SEP 3 0"2021
P:: �- -P: D' fa =-•:.yam _
Building Permit Application nt,tu' County
Permittinr.
Planning and Development Services
Building and Code Regulation Division Com'irnel'Cial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Metal ,Re-Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 4011 Greenwood Drive, Fort Pierce,.FL 34982
Property Tax ID,#: 2421-702-0038-000-9 Lot No.5
Site Plan Name: Block No. 2
Project Name: Lewis,Andrew
DETAILED DESCRIPTION'.OF WORK:
Remove existing roofing material, repair/re-nail-decking,,install seam tape, install 2 layers of synthetic underlayment,
install new Premier Tuff Rib method B metal roofing system.
New Electrical Meter Second Electrical Meter
[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 Roof 2/12 Pitch'
Total Sq. Ft of Construction: 3000(30 SQ) Sq. Ft. of First Floor:
Cost of Construction:$ 19,051.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameAndrew Lewis
. _ Name:_Troy,.Glowth,._. ....... ...:.:... .
Addre'ss' 4011 Greenwood Drive Company:Brilliant Roofing&Restoration
City:`Fort Pierce State:_ `Address:4149 SE Salerno.Road'
Zip Code: 34982 Fax:N/A `City: Stuart State:FL
Phone No.772-577-0098 Zip Code: 34982 Fax: N/A
E-Mail:jbjdjl@aol.com Phone No 772-678-6654
Fill in fee simple Title Holder on next page(if different E-Mail Mail@brilliantroofng.com
from the Owner listed above) State or County License CCC1327906
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: >X Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 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 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 our Notice of Commencement.
i
Signature of Ow /Lessee/Contractor as Agent for Owner Signature of tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MOA?7T1 1\3 COUNTY OF 14 .1 l t__�
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization "i, Physical Presence or Online Notarization
this day of ��aPT 202� by
day of SEpZ 202� by this 2a
Name of pedon making statement. Name of pe n making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature f otary Publi (Signature f otary Public-Sta
Emp-w-arqw-UP-4
MEGAN LAWRENCE - '",1* e�:. MEGAN LAWRENCE
r V �} (� Jr sot�cx?►�blic-State of Florida �� h gt�y Public State of FI riCommission No. S"1 I 1 �g {ssion;HH 90458 Commission No. V :s "�lommission=rIH 9045
v.�: My Comm.Expires Apr 24,2025 �.: My Comm.Expires Apr 24, 0
s .
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20