HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/27/2021 Permit Number:
OF
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: REROOF
PROPOSED, IMPROVEMENT LOCATION:
Address:
6601 S Indian River Drive
Residential x
Property Tax lD #: 3412-141-0001-000-5 Lot No. 2
Site Plan Name: Pruitt Block No.
Project Name: Pruift
New Electrical meter - seconci tiectricat meter tATTIOEIVIT requirea)
COW- VCTION: 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 Roof 9/12 Pitch
Total Sq. Ft of Construction: 3402 Sq. Ft. of First Floor: 3402
Cost of Construction:$ Utilities: —Sewer —Septic Building Height: 25
OWNERAESSEE:
CONTRACTOR:
Name Robert Pruitt
Name: Richard Colletti
Address: 6601 S Indian River Drive
Company. Leakbusters Roof Repair
City: Fort Pierce State:FL
Zip Code: 34950 Fax:
Phone No. -�-IJ - 3q C '70 cry^ E-
Address: 3420 25th Street SW
city: Vero Beach State: FL
Zip Code: 32968 — Fax:
Phone No 7723328450
Mail: C-C6.g-_ 60-
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
E-Mail richiecoliefti@gmaii.com
State or County License QQQ 1330976 21673
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.
SUPPLE ENTA,L C{ONSTRUCTIONM LIEN LAW INFORMATIO
DESIGNER%ENGINEER: x Not Applicable
Name:
MORTGAGE' COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: xNot Applicable
Name:
Address:
City:
Address:
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, 1 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 hpfnrP rnmmpnrina wnrk nr rornrrlina vn,ir Kintiro of t nmman.-nm�nt
Signature of Owner/ Lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OF
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Sworn to (or affirme ) and subscribed before me of `' Physical Presence or Online Notarization
this day of 20 by
Name of person making statement.
Personally Known OR Produced Identification -
Type of ldentificati Pro ured
�o.+►.�..s:..,�
4TRY Aug:'. MICHELLE CAVIL
Notary Public State of Florida
l ..
Commission # HH 152+�W
nAnC
Ngaa1ur i y Public- State of Florida)
" aonced through national Notary Assn.
Commission No. (Seat)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
RECEIVED
DATE
COMPLETED
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