HomeMy WebLinkAboutBuilding Permit App All APPLICABLE IN,UMiUST BE COMPLETED FOR APPLICATION'TO BE ACCEPTED
Date: 3/ 22 _may Permit Number: 20� ��
i RRCFIV�D
CR. I, c I✓ t� Building Permit Application
Planning and Development Services X
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: Metal Re-Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 167 NE Jardain Road,Port St. Lucie, FL 34983
Property Tax ID#: 3419-565-0052-000-0 Lot No. 16
Site Plan Name: Seeley Block No. 78
Project Name:
Seeley
DETAILED DESCRIPTION OF WORK:
Remove existing roofing material,repair/re-nail decking,install seam tape,install synthetic underlayment,install new Premier Tuff Rib metal roofing
system.Flat deck:Remove existing roofing material,repair/re-nail decking and install new Polyglass Modified Bitumen base and cap new roofing
system.
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 _Windows/Doors —Pond
_Electric _Plumbing —Sprinklers _Generator x Roof - 6/12 Pitch
Total Sq. Ft of Construction: Sq. Ft,of First Floor:
Cost of Construction:$ 23,077.00 Utilities: —Sewer _Septic Building Height: Mean:13'
OWNER/LESSEE: CONTRACTOR:
Name Ronald&Lucy Seeley Name: Troy Glowth
Address: 167 NE Jardain Road Company: Brilliant Roofing
City: Port St.Lucie State: FL Address: 4149 SE Salerno Road
Zip Code: 34983 Fax: N/A City: Stuart - State: FL
Phone No. 772-971-4152 Zip Code: 34997 Fax: N/A
E-Mail: Rseeley1337@gmail.com 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
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.
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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.
1 certify that no work or installation has commenced prior to the issuance of a permit.
iSt.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,1 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 attorney-before commencing work or recording-your Notice of Commencement.
Signature of ntractor-or-Owner Builder as applicable
STATE O FLORIDA
COUNTY OF Martin
Sworn to(or affirmed)and subscribed before me of X Physical Presence or Online Notarization
this 15 day of March 20 22 by
Troy Glowth
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identifica 'on Produced
M ,
A I I ULYOP
(Signature of try Public-State of Florida)
HH40458 ;•~ MEGAN IAWRENCE
Commission No. (Seal) �:
«C: Notary?ublic-State of Florida
1;'IT:o` Commission;HH 90456
My Comm.Expires Apr 24,2025
3onaed through National Notary Assn.
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