HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR: Reroof
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 4102 Sunrise Blvd, Ft. Pierce
PropertyTax ID #: 2433-801-0050-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Bonville - 4102 Sunrise Blvd
DETAILED DESCRIPTION OF WORK:
Remove existing roof material to deck; Renail to code. Install SA underlayment, shingles and ridge vent
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
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 3/12 Pitch
Total Sq. Ft of Construction: 3500 Sq. Ft. of First Floor:
Cost of Construction: $ 15,550 Utilities: Sewer _ Septic Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name Roxie Bonville
Name: Douglas E. Roe
Address: 4102 Sunrise Blvd
Company: Red Roofers Inc.
City: Ft. Pierce State: FIL
Zip Code: 34982 Fax:
Phone No. 772-240-6822 E-
_Code
Address: 3441 SE Slater St
city: Stuart State: FL
Zip Code: 34997 _ Fax:
Phone No 772-287-2829
Mail: icecube@gate.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permits@coderedroofers.com
State or County License CCC1326574
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: X Not Applicable
Name: _
Address:
City: _
Zip:
Pho
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: _
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name: _
Address:
City:
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, 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 attornev before commencing work or recording vnur NnfirP of CnmmPnrPmPnt
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of `/Physical Presence or Online Notarization
this 25 day of J_a v\1 20,2 -L by
--__D#-VW%S E --�mP
Name of person making .
statemen
Personally Known ✓gsOR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. (Seal) Not" Public State of Florida
f Brandon J Smith
My Cammission HH 155976
Expires0&23t2025
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 10/12/2-1