HomeMy WebLinkAboutThelma williams permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/1 /22 Permit Number:
F-EP—
l1 L C121 11- L c' tt Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial _ Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Thelma Williams
PROPOSED IMPROVEMENT LOCATION:
Address: 2802 Essex Dr Ft Pierce FL 34950
Property Tax ID #: Lot No._
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Re Roof 19 scls / Replacing shingles With shingles
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1,900
Cost of Construction: $ 8,000
(Affidavit required)
Generator
Sq. Fi. of First Floor:
Windows/Doors
_\[ Roof
Utilities: __Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Thelma Williams
Name: VlnrOy VaSSeI
Address: 2802 Essex Drive
Company: CL�S Roo- fincgLLC
Address: 2054 Vista Pkwy Suite 400
city: FT Pierce State: FL
Zip Code: 34950 Fax:
Phone No. 772-924-4104 E-
city: West Palm Beach, State:
Zip Code: 33411 Fax:
Phone No 772-207-1229
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Anthony@clsroofingllc com
State or County License CCC#1332529
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:
DESIGNE
Name:
Address:
City:
Zip: Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:
_ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
State:
_ Not Applicable
Address:
City: State:
Zip: Phone:
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
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 anoosted on Oe jobsite before the first inspection. If you intend to obtain financing, consult
with 1pnripr nr ;;ttnrnPvh6fore commencing work or recording vour Notice of Commencement.
Signature of Co tract - or'- Owner Builder as applicable
STATE OF FLORI A Florida
COUNTY OF
Swor to (or affir d and subscribed before me of ✓ Physical Presence or Online Notarization
this �day ofM�� 209aby
Name of persoA making statement.
Personally Known ✓ OR Produced Identification
Type ntification Produced
(Si ature of Not Publi - State of Florida)
p�.vv BRANDY DANIELS
° °'' ?r 8�� MY COMMISSION #HH227248
Commission No.�Seal)
_.. EXPIRES: FEB 10, 2026
Bonded through 1st State Insurance
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21