HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - 43 SOVEREIGN WAYAll APPLICABLE INFO MUST BE COMPLETE] FOR APPLICATION TO BE ACCEPTED
Date: 11-29-2021 Permit Number:
Z LU C LL
Cif UN-1-11-Y
I--L C L'� 1 0 i Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: 1772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 43 Sovereign WAY Hutchinson Island 34949
Property Tax ID #: 1414-701-0029-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL PEEL & STICK UNDERLAYMENT FL11602
INSTALL 5 V METAL ROOF FL27499
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to he performed under this permit —check all that apply:
Mechanical Gas Tank —Gas Piping — Shutters
Electric — Plumbing
Total 5q. Ft of Construction: 3455
Cost of Construction: $ 22450
OWNER/LESSEE:
Name Joseph Gijanto
Address: 43 Sovereign WAY
(Affidavit required)
Sprinklers —Generator
Lot No. A
Mack No. 4
Windows/Doors
X Roof 6/12
3455
Pond
Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height. $ FT
City: HUTCHINSON ISLAND StatefL
Zip Code: 34949 Fax:
Phone No.
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name:
Company: SHORELINE ROOFING
Address: 1973 SW GLENDALE STREET
City: PORT ST LUCIE State: FL
E- Zip Code: 34987 Fax:
Phone No 772-260-9565
E-Mail SHORELINEROOFiNG a@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:
State:
Address:
City:
State:
City:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name;
Name:
JAddress;
Address:
City:
City:
Zip; Phone'
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to 0o me Warr. anw ,r sto,rQwUll 00 In .•�.•�w.
I certify that no work or installation has commenced prior to the issuance of a permit.
w Lucie County makes . a representation aowners Assnena ionruIes will authorize
nd covenanits that rnaybrestrict or prohibit such re
which conflicts with any with
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 fobsite before the first inspection. if you intend to obtain financing, consult
'th lender or an attorneyBefore commencingwork or recordingour Notice of Commencement.
Signature of Owner/ Lessee/Contra�tor s Agent for Owner
STATE OF FLORIDAr_
COUNTY OF
Sw (or affirmed) and subscribed be me of ✓ Physical Presence or Online Notarization
this day of 1_1 , 2i1by
id
Name of person making stpte nt.
Personally Known OR Produced Identification
Type of Identification Produced
(signature oi!No ry Public- State of Florida)
`~ + BRANDY MOOR1
Commission No. '� } � }' '-Notary Fabric State of Florida
_ = Ca+nmissron R HH 108395
my Commrssion Expires
May fl9. 2025
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DATE