HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
`L7 L-.l I CU1
L',' 110 LEE, t1 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: Roofing Permit
PROPOSED IMPROVEMENT LOCATION:
X
Address: 222 E. Arbor Ave. Port St. Lucie, FL 34952
Property Tax ID #: 3419-501-0035-000-7 Lot No. 2
Site Plan Name: Block No. 4
Project Name: Maypole
DETAILED DESCRIPTION OF WORK:
Install metal roof over existing 4/12 shingle roof. Install TPO roof over flat roof portion.
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/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers Generator X Roof Pitch
Total Sq. Ft of Construction: 2425 Sq. Ft. of First Floor: _
Cost of Construction: $ 19,500 Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jessica Maypole
Name: Austin Strickland
Address: 222 E. Arbor Ave.
Company: Big A Roofing Inc.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 908-216-7872
Address: 5464 Batton Bay Rd.
City: Green Cove Springs State: FL
Zip Code: 32043 Fax:
Phone No 386-385-3985
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail bigaroofinginc@gmail.com
State or County License CCC1326783
IT value or construction is LWU or more, a KECURDED 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:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 is in conflict with any 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 le er or an attorney before commencing work or recording our Notice of Commencement.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF C I P�
Sworn to (or affirmed subscribed before
" Physical
and me of
Presence or Online Notarization
this TJ day of 20 1-2-by
A U 12 IY' C nil
Name of person makingstatement.
Personally Known V OR Produced Identification
e
Type of Idtification Produced P 1 T
PIL4- kJA_
(Signatu a of Notary 0blic- State of Florida )
Commission No+l j 1,3 2 (Seal)
FILLY LEE
` Notary Public
c State of Florida
= Comm# HH232632
Nb
v cE ICi Expires 2/22/2026
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