HomeMy WebLinkAbout#44083 - Moog, Richard permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J 1 '- I� Permit Number:
oUv
Ij e o M = 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: 754 Altura ST Port St Lucie FL 34952
Property Tax ID #: 3419-515-0114-000-8 Lot No. 8
Site Plan Name: Richard L Moog Block No. 24
Project Name: Moog, JOB Re -Roof
DETAILED DESCRIPTION OF WORK:
KN-K(II1r J��IIIy IE:/ r'LHI
Underlavment - WeatherLock
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: 2195 Sq. Ft. of First Floor:
Cost of Construction: $ 13,565.00 Utilities: x Sewer _ Septic Building Height: 15'
OWNER/LESSEE: I CONTRACTOR:
Name Richard Moog
Address: 754 Altura ST
city: Port St. Lucie state: FL
Zip Code: 34952 Fax:
Phone No. (813-412-9151
E-Mail: iudith.duran(dthroofina.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Robert Donovan
company: Total Home Roofing
Address: 5114 W Okeechobee Blvd, Suite 01
City: West Palm Beach Stater
Zip Code: 33417 Fax:
Phone No 321-452-9223
E-Mail Christa0i throofing com
State or County License CCC1330489
---------.-...- -----....,.. �, - nuoce o1 a ommencemenz 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 TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 prior to the issuance of a permit.
which is in contlicct with any applicabletHome Owners Associationtrulesabylaws or anScovenants that build
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 the Florida Building
plans, 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 St.
of
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 Owl 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.
X OR Produced Identification
Personall'ofNotary
Type of In Produced
(S' re P - a e of Florida )
Notary PUbllt: State of Florida
Commission No. 1-IN11-7s59 (Seal) MyCommisssionn
1111 HH 197559
Exp.11111/2025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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