HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - 5409 PALMETTO DRAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date., 11-3-2021 Permit Number:
T, LL! CLL ,
t L C P, t ft Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: REROOF
ARnPnr.Fn IMPROVEMENT LOCATION:
Address: 5409 PALMETTO ❑R FT PIERCE
Property Tax ID I#: 3402-607-0002-000-0
Site Plan Name:
0
Lot No. 30 & 31
Block No. 8
Project Name:
F—DIETAILE❑ DESCRIPTION OF WORK:
REMOVE SHINGLE ROOF
INSTALL PEEL & STICK UNDERLAYMENT FL2569 INSTALL SHINGLE FL18355
INSTALL MODIFIED FL1654
New Electrical Meter Second Electrical Meter (Affidavit required)
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
Total Sq. Ft of Construction: 3536
Cost of Construction: S 12,825
OWNER/LESSEE:
Name
Address;
Sprinklers
Utilities: _Sewer —Septic
city: FT PIERCE State:FL
Zip Code: 34982 Fax:
Phone No. E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner fisted above)
Generator X Roof 5/12
Sq. Ft. of First Floor: 3536
Building Height; 8 FT
Pitch
CONTRACTOR:
Name: ROLAND WILY
Company: SHORELINE ROOFING
Add ress?973 SW GLENDAL E STREET
City: PORT ST LUCIE State: FL
Zip Cade: 34987 Fax:
Phone No 772-260-9565
E-mail SHORELINEROOFING YAHOO.COM
State or County License CCC1331170
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 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
DATE
RECEIVED
DATE
COMPLETED