HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Fes.
•
---- - - -- Building. Permit Application
Planning and'DevelopmentServices X
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -Roofing residential home. Mark A. Rector
PROPOSED IMPROVEMENT LOCATION: 1003 Osceola Drive, Fort Pierce, FL 34982
Address: 1003 Osceola Drive, Fort Pierce, FL 34982
Property Tax lD #. 3409-801-0014-000-4 Lot No. 14+15
Site Plan Name: SORORA S/D LOTS 14 AND 15 (0.43 AC) Block No.
Project Name: Sec/Town/Range: 09/36S/40E
DETAILED DESCRIPTION OF WORD: Remove existing shingle roof, renail plywood with 8d ring
shank nails, dry roof in with Tribuilt Smooth HT and install new Integrity 24-ga, 1" standing seam ra
3f.
New Electrical Meter Second Electrical Meter
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 6/12 Pitch
Total,Sq. Ft of Construction: 4,149 sf Sq. Ft. of First -Floor:
Cost of Construction: $ 47,000.00 Utilities: —Sewer —Septic Building Height: 14-feet
OWNER/LESSEE:
CONTRACTOR:
Name Mark A. Rector
Name: Christopher A. Long
Address: 1003 Osceola Drive
city: Fort Pierce -State: FL
Zip Code: 32982 Fax:
Phone No. 772-332-2678
Company: The Roof Authority, Inc.
Address: 6771 North Old Dixie Hi hwa
City: Fort Pierce State: FL
Zip Code: 34946 Fax: 772-46 -224
Phone No 772-468-7870
E-Mail tra`19930.grnail.corn
State or County License CC C056933
E-Mail:T MarkJr92 a0msn.com
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
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 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 suc
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,
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
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain f Iaancing, con
St.
ult
with )ender or an attorney before commencing work or recording our Notice of Co .cm-e►icement.
JL
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contr tWcense Holder
STATE OF FLORIDA
STATE OF FLOT?Aucie
COUNTY OF
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
' Physical Presence or Online Notarization
this day of i -)o: 20 by
Physical Presence or Online Notarization
this 15t&y of December 20 21 by
Christopher A. Long
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur6 of Notary Public -State of Florida }
Timothy W. Sutton
..Q�P'Ry 4&P
Commission No. �T�RY PUBLIC
-. 1—STATE OF FLORIDA
[Signature of Notary Public- State of Flo py
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a NUY ARY PUBLIC-O
Commission No. GG1859 ` �tgJpF FI o�IVA
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