HomeMy WebLinkAboutBLDG PERMIT APPLICATION LEVYAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 /18/2021
Permit Number:
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: LEVY, FRANCES
PROPOSED IMPROVEMENT LOCATION:
XXX
Address: _8405 FORT WALTON AVE FT. PIERCE, FL 34951
Property Tax ID #: 1'J91-6D6-0D3n_00()-8 Lot No. 30
Site Plan Name: _LEVY, FRANCES Block No. 57
Project Name: LEVY, FRANCES
DETAILED DESCRIPTION OF WORK:
Remove existing shingles & damaged decking up to 37sq. Replace roof flashing(drip edge, pipe vent
collars, and valley flashing. Install ridge vents. Install "peel & stick" on roof decking up to 37sq
install roof shingles including flat roof. Plywood as needed
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 Sprinklers _ Generator X Roof XXX Pitch
Total Sq. Ft of Construction: 37sq Sq. Ft. of First Floor:
Cost of Construction: $ 20,572.00 Utilities: —Sewer —Septic Building Height: 1 story
OWNER/LESSEE:
CONTRACTOR:
Name FRANCES LEVY
Name: SEAN CARTER
Address: 34m FORT WAI TON AVF
Company: LSCI INC.
City: FT. PIERCE State: FL
Zip Code: 34951 — Fax:
Phone No. 772-370-4774 E-
Address: 7300 BRYAN DAIRY RED SIIITE400
City: SEMINOLE State: FL
Zip Code: 33777 Fax: 727-683-9854
Phone No 727-571-4141
Mail: LEVYCLAN4@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permitsasuntecsolarenergy.com
State or County License CCC1 329896
It 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
Name: NIA
MORTGAGE COMPANY: _ Not Applicable
Name: NIA
Address:
_
Address:
City: State:
Zip: Phone
City: _ State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: v Not Applicable
Name: NIA
BONDING COMPANY: Not Applicable
Name: NIA
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.
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
w-itWender or an attorneybefore commencing work or recording your Notice of Commencement.
Signature o Owner/ Lessee/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 18TH day of NOVEMBER , 2021 by
SEAN CARTER
Name of person making statement.
Personally Known XX OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
'Al ►o Notary Public State of FIGH 0
Commission No. (Seal) Thang Phu
GG 976932
My Commission
"d Expires 04/05/2024
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