HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da(t�e: Permit Number:
61,5,
.�..
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: Reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 410 SE Gasparilla Ave
Property Tax ID#: 3419-530-0106-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Bonilla - 410 SE Gasparilla Ave
DETAILED DESCRIPTION OF WORK:
Remove existing roof material to deck; renail to code. Install SA underlayment, metal panels and (1) Skylight
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 5/12 Pitch
Total Sq. Ft of Construction: 4600 Sq. Ft. of First Floor:
Cost of Construction: $ 43,000 Utilities: Sewer _Septic Building Height: 15'
OWNER/LESSEE: CONTRACTOR:
Name Oscar Bonilla Name: Douglas E. Roe
Address: 410 SE Gasparilla Ave Company:_Code Red Roofers Inc.
City: Port St Lucie State: FL Address: 3441 SE Slater St
Zip Code: 34983 Fax: city: Stuart State: FL
Phone No. 402-217-3752 E- Zip Code: 34997 _Fax:
Mail: x@x.com Phone No 772-287-2829
Fill in fee simple Title Holder on next page (if different E-Mail permits@coderedroofers.com
from the Owner listed above) State or County License CM 326574
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 MORTGAGE COMPANY: _K_ Not Applicable
Name: Name: _
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 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 attorney before commencing work or recording our Notice of Commencement.
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 Sor.\ 202*L by
Name of person making
gsst tement.
Personally Known ✓ OR Produced Identification
Type of Identification Produced
r
(Signature of Notary Public-State of Florida)
Commission No. (Seal) �'►"Pf''� Notary Public State of Florida
Brandon J Smdh
�j My Commission HH 155976
Expires 0&2312025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev