HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - 5949 CARLTON RDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-3-2021
Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 5949 Carlton R❑ FT PIERCE
X
Property Tax ID #: _ 3209-700-0003-000.0 Lot No. 3
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLE ROOF
INSTALL 5 V METAL ROOF FL27499
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
_ Electric _ Plumbing _ Sprinklers
Total 5q. Ft of Construction: 362$
Cost of Construction: $ 13,275
Utilities: _ Sewer ! Septic
(Affidavit required)
Generator
Block No,
—Windows/Doors _ Pond
X Roof 6/12 Pitch
Sq. Ft. of First Floor: 13D5
Building Height: 18 FT
OWNER/LESSEE:
CONTRACTOR:
Name Tina E Salerno
Name: ROLAND WILEY
Address: 5949 Cariton RD
Company: SHORELINE ROOFING
City: FT PIERCE State: FL.
Add ressl 973 SW GLENDALE STREET
Zip Code: 34987 Fax:
City: PORT T LUCIE State: FL
Phone No. E-
Zip Code: 34987 Fax:
Mail:
Phone No 772-260-9565
Fill in fee simple Title Holder on next page (if different
E-Mail SHORELINEROOFING_@YAHOO.COM
from the Owner listed above)
State or County License CCC1331170
11 if value of construction is 2500 or more, a RECORDEV Notice or wmmencemeni is requ+reo.
I If value of HAVC is $7,SOO or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City; State; City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 conflicts with an yy applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 attdrney before commencing work or recording our Notice of Commencement.
of owner/ Lessee/Contract¢r as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Swo or affir ed an0 subscribed b e me of V" Physical Presence or Online Notarization
thlx �aY of -' I by
Name of person ma:70R
atemknt.
Personally Known Produced identification
Type of Identification Produced
(Signature of(Not ry Public- State of Florida]
Commission 1 ,
BRANDY MOORE
N""'°''
`r��AN(jlary Public -State of Florida
; Commission 8 HH 106395
�_Pmy commisspon Expifes
May 09. 2025
REVIEWS I COUNTER I REVIEW I SUPERVISOR ZONING REVIEW REVIEW PLANS � VEGETATION
5EA REVIEW MANGROVEREVIEW
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