HomeMy WebLinkAboutBUILDING PERMIT APPLICATION} -*
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a`�11 \14 SCANNEDPermit Number:o
w
BY RECEIVED
a Lucie
Building Permit Application
FEB 2 7 2090
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Rool
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Address: 317 Olive AVE Port St Lucie , FL 34952
Legal Description: RIVER PARK -UNIT 2-
Property Tax ID #: 3419-510-0092-000-2
12 LOT 20(MAP 34/22N) (OR 3835-1940)
Site Plan Name:
Project Name: Repairs - Reroof flat roof only
Setbacks Front Back: Right Side
Left Side:
Lot No. 20
Block No. 12
Remove existing roof material to deck; renail to code. Install new modified bitumen flat roof.
Additional work to be ertormed
E]
under this permit — check all
apply:
11HVAC
Gas Tank
Gas Piping
_
Shutters
Electric
❑
PlumbingSprinklers
❑
Generator
Total Sq. Ft of Construction: a0�
Cost of Construction: $ 3250.00
S Ft. of First Floor: _
Utilities: Sewer Septic
❑ Windows/Doors
W1Roof Roof pitch
Building Height: f'g?
Name David W Dowling
Address: 317, Olive AVE
Name: Douglas E Roe
Company: Code Red Roofers Inc
Address: 3341 SE Slater St
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-370-9784
City: Stuart State. FL
Zip Code: 34997 Fax: 772-287-7763
Phone No. 772-287-2829
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: becky@coderedroofers.com
State or County License: CCC1326574
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP'FLE�tIENTAI. C>~JNSTRUCTINl1NLA1i111NFQRMATIQ;N
D. u, n. .
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DESIGNER/ENGINEER:
Name: David W Dowling
_ Not Applicable
MORTGAGE COMPANY:
Name: Douglas E Roe
_ Not Applicable
Address: 317 Olive AVE Port St Lucie, FL 34952
Address: 317 Olive AVE
City: Stuart
Zip: Phone:
State:
City: PortSt Lucie State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 3341 SE Slater St
Address:
City:
City:
Zip: Phone:
i
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 Owner/ Less ee/Contrac or as Agent for Owner
Signat re of Contra or/License Holder
STATE OF FL ORI
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STATE OF FLORID ,,,, "���1.,,.
COUNTY OF /�
COUNTY( (,c rf [ n
The fgr;oing instruniw was acknowledged before me
The forgoing instrument w s acknowledged Wore me
this day of Q 20 P& by
thi ay of —� 20,C6 by
i 1t
S
Name of person ;a ift statement
a e of person making statement
Personally Known OR roduced Identification
Personally nown �C OR Produced Identification
Type of Identification
Type of Identification
Produced L
Produced
(Signatu)a of Notary Public- Stat o FI Ida }
(Signature Notary Public- State of FIbri "I
Commission No.. (Seal)
Commission No.66 (' 1M (Seal)
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