HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: acqj
9IUO [LUC .��. RECEIVED
p °_ Nl�l� 2 4 202�
Building Permit Application
Planning and Development Services St, Lu01e County
Permitting
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5999 Citrus Ave, Fort Pierce, FL 34982
Property Tax ID #: 3409-311-0005-000-4 Lot No. 12
Site Plan Name: Clingenpeel Block No. 1
Project Name: Clingenpeel
DETAILED DESCRIPTION OF WORK:
Main house only, Remove existing roofing material, repair/re-nail decking, install seam tape install synthetic underlayment - double layer on
3/12 slope portion of the roof, install new Premier Tuff Rib -metal roofing system. Remove and replace 2' x 2' Suntek skylight
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 4100
Cost of Construction: $ 30.363.00
Sprinklers
Generator
_ Windows/Doors _ Pond
x Roof 3/12; 7/12 & 10/12 Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height: Mean:24
OWNER/LESSEE:
CONTRACTOR:
Name Randall Clingenpeel M - -'
"`Name: Troy Glowth
Address: 5999 Citrus Ave
Company: Advanced Metal Roofing, Inc. D/B/A Brilliant Roofing
City: Fort Pierce State: FL
Address: 4149 SE Salerno Road
Zip Code: 34982 Fax "N/A-.- ---,,.•.,,: .:• .. ;- - .-.•..
City: Stuart State: FL
Phone No. 772-293-1940
Zip Code: 34997 Fax: N/A
E-Mail: N/a
Phone No 772-678-6654
Fill in fee simple Title Holder on next page (if different
E-Mail_ Mail@brilliantroofing.com
from the Owner listed above)
State or County License CCC1327906
IT value oT construction is z5V0 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: ..
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: x 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 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.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an atto/hey before commencing work or recording your Notice of Commencement.
Signature of Contractr - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 23 da of March 20 22 by
Name of a son making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. HH90458 (Seal)
::1yr ode•., MEGAN LAWRENCE
�i�•t Notary Public - State of Florida
rt� • �;! Commission - HH 90456
,4v¢.
My Comm, Expires Apr 24, 2025
3oncec through National Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21