HomeMy WebLinkAboutBuilding Permit ApplicationA;ii APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
4„
- - ` D. Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginin avenue. tort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
7004 Deland Ave Ft Pierce, FL 32981
Aaaress:
Property Tax ID #:
1301-612-0190-000-4
Site Plan Name:
Project Name: Re -Roof / Bergen
DETAILED DESCRIPTION OF WORK:
RP Roof Shingle / Tapered Flat
Underlayment - Weatherlock
Ridae Vent - OC Ridge vent
New Electrical Meter Second Electrical
(Affidavit required)
I CONSTRUCTION INFORMATION: -M1I1IL=
Additional work to be performed under this permit -check all that apply:
X
Lot No. 9
Block No. 127
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors _ Pond
_Electric _Plumbing _Sprinklers _Generator Roof 4 Pitch
Total Sq. Ft of Construction: 3100
Cost of Construction: $ 14,977
Sq. Ft. of First Floor:
Utilities: )(Sewer _Septic
Building Height:15
OWNER/LESSEE:
CONTRACTOR:
Name Bill Bar en
Name: Robert Donovan
Address: 7004 Deland Ave
CompanyAngi Roofing LLC DBA Total Home Roofing
City: Fort Pierce State: FL
Zip Code: 32981 Fax:
Phone No. (772) 300-2211
Address: 5114 W Okeechobee Blvd, Suite 201
City: West Palm Beach State: -EL -
Zip Code: 33417 Fax:
Phone No 321-452-9223
E-Mail: wildive117(cDaol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Christa@throofinci com
State or County License CCC1330489
If value of construction IS 2500 or more, a RtCUKULU nonce or wmmencemem n ,eyu„aa.
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:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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
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 of Identification Produced
State
State of Florida
FRONT I ZONING SUPERVISOR PLANS I VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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