HomeMy WebLinkAboutMolly Peters Roofing PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE AcaPTED
Date: 11 /9/21 Permit Number: ______ _
Building Permit Application
Planning and ~velopment Services
Residential X 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: 3121 Dame Rd. Fort Pierce, FL 34981 Molly PetE
PROPOS ED IMPROVEM ENT LOCATION :
Address: 3121 Dame Rd. Fort Pierce, FL 3498
Property Tax ID#: 2430-123-0004-000-3
Site Plan Name: ______________________ _
Project Name: Siding and Roofing for Molly Peters
·DETAILED· DESCRIPTION OF ,WORK: · ,. , ·: ,d:i ,, '. ' '. ,.
\. 1,... • : '_) .,. • ,t' . ...-'
Lot No .. ___ _
Block No. __ _
Remove current underlayment and shingles Be-nail decking acc.ording to code Appl
new underlayment and metal panels. Remove flat roof underlayment and cap sheet
install new underlayment and cap sheet.
New Electrical Meter ____ Second Electrical Meter _____ (Affidavit required)
r -"
CONSTRUCTION INFOR
. --.. --
Additional work to be performed under this permit -check all that apply:
_Mechanical
Electric
Gas Tank
_Plumbing
_Gas Piping
_ Sprinklers
Tota l Sq. Ft of Construction: _.2...i8oL.l0oL.l0'------
Shutters _ Windows/Doors Pond
Generator Roof ____ Pitch
Sq. Ft. of First Floor: ________ _
Cost of Construction: s _3_1....:.,_o_o_o ___ _ Utilities: _ Sewer _ Septic Building Height: ___ _
OWNER/LESSEE:
Name Molly Peters
Address: 3121 Dame Rd.
City: Fort Pierce State: FL
Zip Code: 34981 Fax: ______ _
Phone No.772-332-5252
Mail :. _____________ _
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CON TRA CTOR:
Name: Larry McDonald
Company: Southeast General Contractor's Group, INC.
Address: 10380 SW Village Center Dr. #23~
Oty: Port St. Lucie State:.£!:....
E-Zip Code: ...:34;..;.9=8:..:..7 ____ Fax : ______ _
Phone No (561 )756-1321
E-Mail lmcdonald@southeastcontracting.com
State or County License _________ _
If va lue of co nstruction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,SOO or more, a RECORDED Notice of Commencement is required .
,K, 1 ;,_·t:.. • 11 l 1 '• ·., '_:( ~'t•·!j' ,,·;:,li,ji/ '\/'~ •' SUPPLEMENTALCONSTRUCTION iLIENlAW,.INFORMATl0N :\ 1,,' :1::)/~'1 '·:,yf ; ,,,,t·:rtY'''{~,;.,._ , •~ .~: .• , flv; \ ' . Ir, ,~-•: 1 ' l' ' ' _,.-
DESIGNER/ENGINEER: L Not Applicable MORTGAGE COMPANY: .L Not Applicable
Name: Name:
Address: Address:
City: State: --City: State: --Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: .L. Not Applicable BONDING COMPANY: ..,LNot Applicable
Name: Name:
Address: Address:
City: Oty:
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
wh ich conflicts with any applicable Homeowners Associalion 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 attorney before commencin_g work or recordin~ vour Notice of Commencement. /4 A A
Sign lrture of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID~ .J-L
COUNTYOF . uc,·e
Sworn to (or affi/v; and subscribed before me of
this day of ve.m her-• 20 z.L by
V Physical Presence or __ Online Notarization
Le.rrc/. fY7c LJ o,,.,/J
Name of person making statement.
Personally Known OR Produced Identification __
Type of Identification Produced
~-tt::_~~ -(Signature of Notary Public-State of Florida) _ •• ___ ,.. .. . .. ... ... ...... --... ----.... -.. --
Commission No. t:..1C1 z.3"} C7_~seal) -ry Public $tale of Flotlda 4' , • Nicollelle Benichlo > • . My CommiUion GO 239e73 t
> Expirfl 07/18/2022 :>
4 • ... ....... __ ,.,._-... _ ... _ ... _ ---_ .... _ -....... _. --
REVIEWS FRONT ZON ING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RE CE IVED
DATE
CO M PL ET ED
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