HomeMy WebLinkAboutBuilding Permit App - Matanzas Avef All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/4/2021 Permit Number:
L U CI Lt
«�1J�_ Vul
.
c "� 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:4203 MATANZAS AVE For Pierce, FL 34946
PropertyTaxlDit 1431-801-0174-000-6 LotNc 16
Site Plan Name. �)Ilveira, hone Block No. 14
Project Name: Re-Roof -Oliveira
DETAILED DESCRIPTION OF WORK:
Shingle / Flat
n er m - Watherlock
Ridge Vent-
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 _ 4 Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 10,500 Utilities: )(Sewer _Septic Building Height. 15'
OWNERAESSEE: CONTRACTOR:
Name Ivone Oliveira Name: Robert Donovan
Address:i 4203 MATANZAS AVE Company: Angi Roofing DBA Total Home Roofing
City:_ For Pierce State: FL Address:
Zip Code: _34946 Fax: city:-West Palm Beach Stater
Phone No, 305-527-0081 Zip Code: 33417 Fax:
E-Mail:_-_ Phone No 321-452-9223
Fill in fee simple Title Holder on next page( if different E-Mail Christa@throofing.com
from the Owner listed above) State or County License CCC1330489
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 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 FLORI �
COUNTY OF w &Ad&
Sworn to(or affir ed.1 rid prubscribed before me of X Physical Presence or Online Notarization
this 31 A`lay of_ �an 2022 by
Robert Donovan
Name of person making statement.
Personally Known X OR Produced Identificat'
Type of Identi 'cation roduce
(Sign re of Na.t PubMSof Florida
vr�Commission No e aI
l) CHRISTA-LYNSALMONSON
_.• MY COMMWION#GG 930883
`• • � EXPIRES:March 10.2024
�`�tr • 9onded TMu Notary Public lfndennilers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev