HomeMy WebLinkAboutPermit App 44402 (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
9, r Li` -m
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2025 Esplanade Ave W Fort Pierce, FL 34982
Property Tax ID #: 2421-607-0010-000-5 Lot No. 10
Site Plan Name: Block No. A
Project Name: Re -Roof / Dawes
DETAILED DESCRIPTION OF WORK:
Rp-Ronf cerainteed Landmark Shingle
Underlayment - Weatherlock
Ridge Vent - NO
New Electrical Meter Second Electrical Meter (Affidavit required)
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors8Sq Pondllsq
_Electric _Plumbing _Sprinklers _Generator XRoof 4 Pitch 7/12
Total Sq. Ft of Construction: 3900 Sq. Ft. of First Floor:
Cost of Construction: $ 20,788 Utilities: _XSewer _Septic
Building Height:15
OWNER/LESSEE:
CONTRACTORS
Name Thomas E Dawes
Name: Robert Donovan
Address?025 W ESPLANADE
CompanyAngi Roofing LLC DBA Total Home Roofing
City: Saint Lucie County State: FL
Zip Code: 34982 Fax:
Phone No. (772) 359-2422
Address: 5114 W Okeechobee Blvd Suite 201
city: West Palm Beach state: Fl
Zip Code: 33417 Fax:
Phone No 321-452-9223
E-Mail: capt.tom19454cimail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Christa(athroofinci.com
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:
DES1GNtnJENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Nang.
_
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 au 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 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.
Personally Known X OR Produced Identification
Type o Identif cation Produced
S�gnature of Notary Public- rate of Florida )
Notary Publld Slate of Florida
Commission No. Seal Judith Duran
( My Commisalon
1111 XM ta7612
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21