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Alf APPL , BLE INFO MUST BE .COMPLETED FOR APPLICATION TO CBE ACCEPTED ��
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Date '11; D eb. `1,5: 2022'' 3 , Permit Number:
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nICodeRegulotign+Divis�on I;,,��, Commercial I�' Resident;ial '!�wF
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ia Avenue, Fort? lerce FL 34982
772) 462'-1553Fax,.(172) 462-1578 CBDG FUn&ng
PER ';
APPLI.CATIOIy, FOR: Re -Roof
''PROP �S D�IMPROVEMENT LOCATION . -. '
Address''11127.1,8''S.27th:'St;' Ft. Pierce, FL
Propert '�Tta�C ID#f 11-i2420-801-0043 0,00-8 ,'Lot No. 20 23'
Site'Im
Plar�a'me• 2718$ 27th - Block Nol'ia'2'''
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Projectll��r'rie 27J18 s, 27th
DETAik It DESCRIPTION`OF W;ORK:. t
.Re R&'- Slolie''and flat roof repair and replace covering.
Iko. Fij, rgaass'Shlrlgles -.FL 303.10. IKO Underlaymerit FL 300741:1 '
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Polyg4as ,Cap; , Bas'e SAP FL 1654 R27 ........... ...........
Flat Roofs
, 4('SY j F,•a .,ar 1,.
New PI ctical Meter ; I Second''Electrical Meter I (Affidavit required)
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CONS#U' t ION IN'fORMATION
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Add itlor�2lb work to,'; be performed under this. permit — check all that apply:
' I ' IGas Tank _ Gas,.Piping Shutters Windows/Doors
Po
T,6nid6l-
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5; ._'PIUGnbing �_ Sprinklers" •Generator XXXX' Roof
Pitchy';'-•,
_Electric,
2800
Total S of Construction Sq Ft. of First Floor:
S, i ;
Cost'of i�Itructionf $ 16000'' Utilities: Building Height:
_;Sewer _Septic
01NN%�:ESSEE ' :�� ��
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:CO NTRACTOR:'
Name �r'F Illlarri''D 'Jonas
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�iN me
Ray Villanova•
Address ri'-'27.18;S 27th St.
Company:
Villanova Construction Inc.
city: 1�i'3' 'Ft. Pierce
State: FL
Address:
2908 Oleander Blvd.:
Zip Coeljr,'.349$1 �' I r fax:
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city:'
Ft: Pierce ' f '
Stag FL'''''
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Zip Cde:
'34982'oPhon
Fax
Mail:„Phone
No
' 772 940;`6654,
.Fill in fe'llF�$iriiple Title Holde�,on next page (if different
E Mail
rayillan' , aol corn
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from tFi� Owner, listed:adov'
State or County License ' CCC 1327240
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If value'o onstruction'is 2500 or more, a'RECORDED Notice of:Commencement is required.";!,
If value Qf, dVCU:$7,500 or more, a RECOfiDED Notice of Commencem,'ent,is required. ; I ,
`SUP MENTAL CONSTRUCTION ,LIEN LAW, INFORMATION:P' `
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DESI �, R/ENGINEER: ; I' "Not Applicable MORTGAGE COMPANY: Not�Appllc`a'ble,
Nam Name:
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Addr ss I �' , I Address: I
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,City i I�i �)I'�! bl ' I State: City., i State ;,lid {Ill ,
Zip: PZlp II'I;' Phone: I
FEE SI11f11PLE TITLE
HOLDER: -Not Applicable BONDING COMPANY' Not Applicable
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Nam �� Irr ' ". Name:
Address j ti, Address:
I ' •' 'Clty: I I
Zip: '',1 '' Phone':` Zip: Phone:
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OWNE1'/ CONTRACTOR AFFIDVIT: Application'is hereby made to obtain a permit to do the work and installation 'asl indicated,..
certify't1h( t no workor installation has commenced prior to'the issuance of a permit.
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St. Lucie �iii"My.makes,no representation',Ithat is granting a permit,,will a,uthorize.the permit ho`der'to'ibuildl he 'subject sltructure'
.which colnf ices with anyY,applic6ble Homegwners Association rules;,bylaws or.;a ,d covenants that may restrictpr prohibit, sddh ,' r
structur l �)pase consult.with,your Homedwnprs Association and review your eed for any restrictions'which'Ir�iay
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In co,
er ion,of the granting of this regdgsted permit, I do.hereby agree that I will, in all respects, perform the work
in accorldagAce Mth•the approved plans, the Florida Building Codes and St. Lucie County Amendments,;
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The follows g,building permit applications are exempt from undergoing a full concurrency r6View. room. additions, it
t 11.: I' '.'I::. 'Flt d
accesso , structures,'swimming pools, fence's, walls, signs,'screen' rooms and accessory uses to anothe�'non,residential use I
WARN Nq; TO OWNER: Yourfailurd4o Record a Notice of Commencement may result m 1paying'twice. for' r ';1
imreements to you r„property,; A, Notice of Corn m�ncement'must be. recorded' in,'the •pub:lic recoMs of St.
Lucie lgbunty;and p`osted'on the jobsite before the'fiirst ins'p.ection. If you intend to obtain financi�igj' Consult
%A,i 'iJiNnr 6r'nr'nn nttnrnav hafnr'a rnmmPnrino wnrk nr' rernrrlinL7 vnur N' fir_e' of Commencement. L .
I' Vyl'FII I 11 �'�,'
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ignat' &Of Confractor - -:Owner guilder'as applicable
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