HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/19/2021
Permit Number:
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P e o 4...
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: 3L4U vv LAKL UK M. Fierce FL 34982
Property Tax ID #: 2427-603-0046-000-2 Lot No. 14
Site Plan Name: Antonio R Dehart Block No. 7
Project Name: _Dehart. JOB Re -Roof
DETAILED DESCRIPTION OF WORK: -Amov-
Re-Roof Metal- 5V 26ga Flat
Underlavment - Poly Tu
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
(Affidavit required)
_Mechanical
_ Gas Tank
_ Gas Piping
_ Shutters
-Windows/Doors
_ Pond
Electric
_ Plumbing
_ Sprinklers
_Generator
-X_ Roof 2
Pitch
Total Sq. Ft of Construction: 925
Cost of Construction: $ 9,900.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name Antonio R D hart
Name: Robert Donovan
Address: 3240 W LAKE DR
Company: Total Home Roofing
city: Ft Pierce state: FL
Zip Code: 34982 Fax:
Phone No. (813-412-9151
Address: 5114 W Okeechobee Blvd, Suite 201
City:_Mst Palm Beach Stater
Zip Code: 33417 Fax:
Phone No 321-452-9223
E-mail: judith.duran(a)_throofrng.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Christa(cbthroofing com
State or County License CCC1330489
--• -• ,> caw Ur more, a rtcwnueu nonce or 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: Applicable
Name:
_Not
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 noworkor installation has commenced to the issuance
prior of a permit.
which is inoconflic with any applicablelHome Owners Association ru esabylaws or anscovenants that build
drestrict 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,
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 before commencing work or recording 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.
Personally Known X OR Produced Identification
Type of Identif cation Pro
(Signs re of Notary Public- State of Florida) Notary Public Suto of Florida
® Judith Duran
Commission No. IrA Irl AI s9 (Seal) my om i"lon
59
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ZONING
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