HomeMy WebLinkAboutREROOF PERMIT APPLICATION - 531 PAUROTIS.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-3-2022 Permit Number:
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�, L c >_: ' L, Building Permit Application
Planning and Development Services x
Building and Code Regulation Division Commercial Residential /�
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: I772j 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: REROOF
-PROPOSED IMPROVEMENT LOCATION:
Address: 531 PAUROTIS LN Fort Pierce 34982
Property Tax ID #: 3410-503-0269-000-5 tot No.17
Site Plan Name: _ Block No. ,1
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLE ROOF
INSTALL PEEL & STICK UNDERLAYMENT FL2569
INSTALL RIDGEVENT NOA NO, 19-1217.03
INSTALL SHINGLE FI-10674
New Electrical Meter _ Second Electrical Meter (Affidavit required
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
—Mechanical f Gas Tank `Gas Piping Shutters
Electric Plumbing ____ 5prinklers _ Generator
Total $g. Ft of Construction: _ 2068 _ Sq. Ft. of First Floo
Cost of Construction: S 10250
Windows/Daors
x Roof 5112
r: 2068
Pond
Pitch
Building Height: 8 FT
OWNER/LESSEE: CONTRACTOR:
Name Diew A Gonzalez Name: ROLAND WILEY
Address: 531 Paurotis Ln Company: SHORELINE ROOFING
city: FORT PIERCE State: FL Address: 1973 SW GLENDALE STREET
Zip Code.. 34982 Fax: City: PORT ST LUCIE State: FL
Phone No. > - Zip Code: 34987 Fax:
Mail: Phone No 772-260-9565
Fill in fee simple Title Holder on next page (if different E-MaiISHORELINEROOFING@YAHOO.COM
from the owner listed above) State or County License CCC1331 170
Utilities: _Sewer _Septic
it value of construction is Zsuu or more, a lit LUKULU NOLICe OT LOmme'n Cenie1 rL Pa IcyuIr CU.
If value of HAVC is $7,500 or more, a RECORDED notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name- _
Address:
City:
Zip:
EER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Phan
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: — Phone:
State:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: 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
WARN ING 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 pasted on the jobsite before the first inspection. If you intend to obtain financing, consult
with fPndPr cw an attorney before commencine work or recording vour Notice of Commencement.
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Signature of Owner/ Lessee/Contractor asQgent for owner
STATE OF FLORIDk-� ,
COUNTY OF
SwornXo (or affi d) nd subscribed befgr.p me of ,{ Physical Presence or Online Notarization
this,?day off � 20 by
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Name of person making stawment.'
Personally known OR Produced Identification
TyR of Identification Prodpced
D y M 00 R E
(Signature of Not ry Pubfic- State of Florida)T-7-
lic-Simla ❑t Fia�idaCommission
i0n # HH 10839`�mission
Na. Jaly
Expiresy
09. 2025
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Rev 5720/21