HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-7-2021 Permit Number:
ST LLI CLL
LCLlL'TV
L- ' C tL '- D {4 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: REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 512 Banana LN Fort Pierce 34982
Property Tax ID #: 3410-503-0288-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLE ROOF
Lot No, 36
Block No. 3
INSTALL PEEL & STICK UNDERLAYMENT FL2569
INSTALL SHINGLE FL10674 INSTALL RIDGEVENT NOA NO. 19-1217.03
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
Total Sq. Ft of Construction: 3016
Cost of Construction: $ 10500
OWNER/LESSEE:
Name Richard Allen Pignataro
Address. 512 Banana LN
Generator x Roof 5112 Pitch
Sq. Ft. of First Floor: 3016
Utilities: _Sewer _Septic Building Height: 8 FT
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phnnn No E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: ROLAND WILEY
Company: SHORELINE ROOFING
Address: 1973 SW GLENDALE STREET
City: PORT ST LUCIE State: FL
Zip Code: 34987 Fax:
Phone N0772-260-9565
E-Mail SHORELINEROOFING@YAHOO.COM
State or County License CCC 1331170
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: 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 hplder 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 fallowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessary 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
with fender or,arl attorney before commencin work or recordin our Notice of Commencement.
Signature of Owner/ Lessee/eontra cto r as Agent for Owner
STATE OF FLORIDA—, -
COUNTY OF �f
Sworn for affirmed) and subscribed before me of �` Physical Presence or Online Notarization
this day of 1 i (. ' 20L)_I by
Name of person making st tement.
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of No ary blic- State of FlP
BRANDY MOORE
Commission No. Y` (Se LZ ��s Notary Public -State of Florida
= Commission # HH 108395
z, My commission Exp,res
'•.,,;;;,;.••` May 09, 2025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA, TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED