HomeMy WebLinkAboutPermit app 43320 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
( od J l C�ll�% �
h` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Re-Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 155 NE Naranja AVE Saint Lucie West,FL 34983
Property Tax ID#: 3419-530-0189-000-1 Lot No. 3
Site Plan Name: Block No. 39
Project Name: Re-Roof/ Bittorf
DETAILED DESCRIPTION OF WORK:
Re-Roof Shingle
Underlayment - Weatherlock
Ridge Vent - OC Ridge vent
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 Roof A Pitch
Total Sq.Ft of Construction: 4300 Sq. Ft.of First Floor:
Cost of Construction:$ 17,877 Utilities: x Sewer _Septic Building Height:15
OWN ER/LESSEE: CONTRACTOR:
Name George W Bittorf Name: Robert Donovan
Address: 155 NE Narania AVE Company:Total Home ROOf ncl
City: Saint Lugie West State: FL Address: 5114 W Okeechobee Blvd. Suite 201
3�9t"s3
zip Code: Fax: city: West Palm Beach State: Fl
Phone No. (717) 601-9735 zip Code: 33417 Fax:
E-Mail: Qeorgebittorf(Mgmail.com Phone No 321-452-9223
Fill in fee simple Title Holder on next page(if different E-Mail Christa(aithroofing.com
from the Owner listed above) State or County License CCC1330489
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 TITLEHOLDER: _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.Lucle County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners 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,
accessary 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 attorneybefore commencingwork or record in our Notice of Commencement.
Signature of Ow Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to(or affirmed)and subscribed before me of X Physical Presence or_Online Notarization
this_day of 20_ by
Robert Donovan
Name of person making statement.
=u9ui'n""L
X�Personally Known X OR Produced Identif cation ppType of Identification Produced yye10N
ature of Notary Public-State of Florida)
Notary public State of�r o�
Commission No. (Seal) Judith Duran
MyNHt 97"'i"n ,
Exp.tt/tt12025 '
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21