HomeMy WebLinkAboutBuilding Permit Application (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MAR 21 2021 Permit Number:
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 t 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
CONSTRUCTION INFORMATION:
(Affidavit required)
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
Cost of Construction: $ 14K
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Butler Rhoda M
Name:RENE REYES
Address: 6736 ALEMENDRA ST
Company: MY FLORIDA ROOFING CONTRACTORS
City: FORT PIERCE State: _
Address: 3700 43RD AVE SUITE 7
Zip Code: 32978 Fax:
City: VERO BEACH State: FL
Phone No. E-
Zip Code: 32960 Fax:
Phone No 772-453-7219
Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail CS@MYFLROOFINGCONTRACTOR.COM
from the Owner listed above)
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.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Y Not Applicable
Name:
Address: _
City:
Zip: Phone:
MORTGAGE COMPANY: W Not Applicable
Name:
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,
certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie County makes no reppresentation that Is granting a permit wil` authorize the permit holder to build the subject structure
which conflicts with an applicable Homeowners Association rules, b aws or and covenants that may restrict or prohibit such
structure. Please consuYt with your Homeowners Association and revylew 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-resldential 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.
,4?4elg County amend po��ted_on the jobsite before the first inspection. If you intend to obtain financing, consult
1 wlthllend a orne before commencing work or recording vour Notice of Commencement.
•----
gnature of Contractor • V-Ow!nnaer Buy applicable
STATE OF FLORIDA
Indian 2i,,
COUNTYOF
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this og day of tv1Ql- 11 20aAby
' 'eYL2 9L, R3
_
Name of person statement.
\maaking
Personally KnowN't OR Produced Identification
Type of Identification Produced
k_mlti
(Signature of Notary[[Publlc- ate of Florida
Commission No. -I Ia-a-- (Seal) MARIA DE JESUS LOPEZ
MY COMMISSION # GG 988122
EXPIRES: July25,2024
'••"• FPt°•' Bonded Thru Notary Public Underw ilea
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