HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MAR 21 2021 Permit Number:
91`Lro L-UCM-
Q'0 + f r
"ti 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 6736 ALEMENDRA ST
Property Tax ID 4. 1306-500-0347-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND REPLACE WITH 26 GUAGE 5V METAL ROOF
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
X
Lot No. 2
Block No. 75
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 5 IN 12 Pitch
Total Sq. Ft of Construction: 2,700 SF Sq. Ft. of First Floor:
Cost of Construction: $ 14K Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Butler Rhoda M
Name:RENE REYES
Address: 6736 ALEMENDRA ST
Company: MY FLORIDA ROOFING CONTRACTORS
Address: 3700 43RD AVE SUITE 7
City: FORT PIERCE State: _
Zip Code: 32978 Fax:
Phone No. E-
City: VERO BEACH State: FL
Zip Code: 32960 Fax:
Phone No 772-453-7219
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail CS@MYFLROOFINGCONTRACTOR.COM
State or County License CCC1326546
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.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: _ City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:
Zip:
Phone:
_Not Applicable
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.
County and p�o on the jobsite before the first inspection. If you intend to obtain financing, consult
1 with endlyerar�txorne before commencing work or recording your Notice of Commencement.
'gnature of Contractor - - Owner Bu' applicable
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of _ Physical Presence or _ Online Notarization
this day of 20_ by
Name of person malting statement.
_Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21