HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1-u U�1L
'' 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 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 3260 Lakeshore Drive, Hutchinson Island, FL 34949
Property Tax ID #: 1425-676-0018-000-4 Sec/Town/Range: 25/34S/40ELot No.
—
Site Plan Name: Lakeshore at Sands (OR 1640-1177) Unit 18 (OR 3834-1777:4103-2325j lock No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove shingle roof, re -nail plywood deck, install self -adhered underlayment, new aluminum metal and
valleys and flashing, and install new Owens Corning Tru-Definition Duration shingles.
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 X Roof - 6:12 Pitch
329 sf
Total Sq. Ft of Construction: 3 Sq. Ft. of First Floor:
Cost of Construction: $ 22,500.00 Utilities: —Sewer —Septic Building Height: 18'
OWNER/LESSEE: CONTRACTOR:
Name Jerald G Huff or Janet E Smith
Name: Christopher A. Long
Address: 3260 Lakeshore Drive
Company: The Roof Authority, Inc.
Address:6771 North Old Dixie Highway
City: Hutchinson Island State: FL
Zip Code: 34949 Fax:
City: Fort Pierce State:
Phone No. (954) 325-9601 E-
Zip Code: 34946 Fax: 77-468-22
Mail: ighuff1950@gmail.com
Phone No772-468-7870
E-Mail tra1993 c(r mail.com _
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CC C056933
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
Name: _
Address:
City:
Zip;
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:
Zip:
Phone:
Not Applicable
State:
Not Applicable
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 snakes 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, 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 yo r-(property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and listed on the jobsite before the first inspection. If you intend to obtain financing, consult
with lend' pr attorney before commencing work or recording your Notice of Commencement.
Sign Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 10 day of January zo 22by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. (3G185982 (Seal) RY Timothy Vll. Sutton
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG185982
e� Ex ires 3/20/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21