HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/4/2021 _ Permit Number:
910 ILL
CUIE
CD r
P Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
ROBERT MCCLELLAN
PROPOSED IMPROVEMENT LOCATION:
Address: 2809 Placid AVE Fort PierceFL 34982
Property Tax ID #: 2421-606-0002-000-3
Site Plan Name: RobertMcClellan
Project Name: Robert McClellan
DETAILED DESCRIPTION OF WORK:
Residential x
Lot No._ 2
Block No.
Removing & disposing old roofing material Installing new Owens Corning Duration shingle 30 Squares Pitch 2/12
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
Electric _ Plumbing
Total Sq. Ft of Construction: 2454
Cost of Construction: $ 14 988.00
Sprinklers _ Generator
_ Windows/Doors
Sq. Ft. of First Floor:
x Roof
Pond
2112 Pitch
__ Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ROBERT MCCLELLAN _ Name: Robert Smith
Address: _ 2809 Placid AVE _ Company: Momentum Solar
City: Fort Pierce _ State: FL Address: 6210 Hoffner Ave Ste 100
Zip Code: 34982 Fax: _ _ I City: Orlando State: FL
Phone No. 321-247-6073 E- Zip Code: 32822 Fax:
Mail: flroo ermits momentumsolar.com Phone No 321-247-6073
Fill in fee simple Title Holder on next page (if different E-Mail flroo ermits(cDmomentumsolar.com
from the Owner listed above) State or County License CCC1328070
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
Name:
MORTGAGE COMPANY:
Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 any 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.
X Not Applicable
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 leeCqmnatttornevbefore commencing work or recording our Notice of Commencement.
5rgnature of OSaTreFTLessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 4 day of November 2021 by
Robert Smith
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State `eOlorida)
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Commission No. (Seal) Commission # GG 972215
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