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All APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number:42) — 0040
RECEIVED
. . NOV 0 2 2021
- - Building Permit Application
Planning and Development Services St.Lucie County
Building and Code Regulation Division - Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMITTYPE:.RE ROOF RESIDENTIAL
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Address: 3704 PENDULA CIRCLE, PORT SAINT LUCIE FL 34952
Property Tax ID#: 3425-706-0247-000-4 Lot No. 9
Site,Plan Narime:.SCHACHEL RESIDENCE Block No. 51
Project Name: SCHACHEL RESIDENCE d
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REMOVE.EXISTING ROOFING DOWN TO WOOD DECKING. INSTALL NEW 26 GAUGE
5V CRIMP ROOFING SYSTEM
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas.Tank _Gas Piping _Shutters -Windows/Doors
Electric _Plumbing _Sprinklers _Generator Roof 3:12 Pitch
Total Sq.Ft of Construction: 2800 Sq.Ft.of First Floor: N/A
Cost of Construction:$ 11,620.00 Utilities: _Sewer _Septic Building Height: 15'
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NameJOHN SCHACHEL~ Name:KARIBAY PORRAS
Address:3704 PENDULA CIRCLE Company:JT ROOFING INC
City: PORT SAINT LUCIE State:FL Address:4360 SE COMMERCE AVE
Zip Code:34952 Fax: city:STUART state:FL
Phone No.732-859-7059 Zip Code:34997 Fax:
E-Mail:PRESTS R@AOL.COM Phone No 772-266-4495
Fill in fee-simple Title Holder on next page(if different E-MaiIINFOO-JTROOFI NGINC.COM
from the Owner listed above)_ State or•County.LicenseCCC1332040
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7;500 or more,a RECORDED Notice of Commencement is required.
I
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 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wITH YOUR LENDER,Ofi AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner le/ssee/Contractor as Agent for Owner Signature of Contractor icense Holder
STATE OF FLORIDA STATE OF FLORI
COUNTY OF MARTIN COUNTY OF MARTIN
'The forgoing instrument was acknowledged before me The f rgoing instrument was acknowledged before me
this.1 day of NOVEMBER ,2o21 by this_day of NOVEMBER .2021 by
KARIBAY PORRAS KARIBAY PORRAS
Name of person making statement. "Name of person making statement.
Personally Known OR Produced Identification Personally Known V . OR Produced Identification
Type of Identification Type of Id ntification
Produced KNOWN ProducedRNOWN
AjA ��-
(Si8n'kture of Notary Public-State of Florida) a ure of Notary Public-State of Florida)
Commission No.GG9522 ,,.r Pubiic State of Flori a usry Public State of FI da
(3 1 Co fission No.GG952289 Q a�}}pp
Sta Davis "S1aci Davisy Commission GG 9522 9 : My Commission GG 59�= 4
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REVIEWS FRONT I OR PLANS VEGETATION SE G E
COUNTER REVIEW REVIEW REVIEW. REVIEW REVIEW . REVIEW
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