HomeMy WebLinkAboutBuilding Permit ApplicationAII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772\ 462-1553 Fax: {7721' 462-7578
Commercial Residential X
CBDG Funding
PERMIT APPLICATION FOR: Reroof
PROPOSED IMPROVEMENT LOCATION :
Address: 7963 Plantation Lakes Dr.
Property Tax rD s; 3321-803-0064-000-6 tot ruo.60
Site PIan Name:Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove tile roof and renail plywood. lnstall 30# felt and self adhering tite underlayment. lnstall
Estate tile using two screws.
New Electrical Meter _ Second Electrical Meter (Affidavit required)
CONSTRUCTION I NFORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
Pitch_ Electric _ Plumbing _ Sprinklers _ Generator
Sq. Ft. of First Floor:
X Roof 6112
Total Sq. Ft of Construction: !100
Cost of Construction: S 49,930.00 Utilities: _ Sewer _ Septic Building Height:
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $7,500 or more, a RECoRDED Notice of commencement is required.
OWNER/LESSEE:CONTRACTOR:
Name John Michals
Address: 7963 Plantation Lakes Dr.
City:Port St. Lucie State:FL
Zip Code: 34986 pax;
phone No. 772-834-2749 E-
Mail:
Fil! in fee simple Title Holder on next page {if different
from the Owner listed above)
Name: David Packard
Company: Packard Roofing & Waterpoofing, lnc.
Address: 2182 NW Reserve Park Trace
City: Port St. Lucie State: FL
ZiP Code: 34986 7.7y. 772-468-9978
Phone No 772-469-3723
E-Ma il ssmith@packardroofl ng.com
State or County Usgnsg CCCA17517
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMAT]ON:
DESIGNER/ENGINEER: X Not Applicable
Name:
Add
City
zip:
ress:
State:
Phone
MORTGAGE COMPANY: X NOt APPIiCAbIE
Name:
Address:
City State:
zip:Phone
FEE SIM
Name:
PLE
:
TITLE HOLDER: X tuot Applicable
Address
City:
zip:Phone:
BONDING COMPANY: X Not Applicable
Nlamo'
Address:
City:
OWNERI 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 grantine a permit will authorize the permit holder to build the subiect structure
which conflicts'with anv applicable Homeownersassocia-tioh rules, bvlaws or and coVenants that mav restrict or o16hibit suchstructure. Please consult With your 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 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. lf you intend to obtain financing, consult
with lender or an att before com work or Notice of Commencement.
Signature of Ownel as Agent for Owner
STATE OF FLORIDA
COUN1y OF St. Lucie
x Physical Presence or _ Online Notarization
Name of person making statement.
Personally Known X OR Produced ldentification
ry Public- State of Florida
Commission No.:'i Notary Public - State of Florida
s'j Commission # HH 182637It My Comm. Exoires Oct 6. 2025
BonCed through National Notary Assn.
SEA TURTLE
REVIEW
DATE
COMPLETED
zip:Phone:
Sworn to {or affirmed) and subscribed before me of
thisllnQayof Octbber . zo2Jbv