HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt'
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: T_, Permit Number: 1 r lQ
SGANNE0
g BY RECEIVED
ing Permit Application APR 0 9 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie county, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_
PERMIT APPLICATION FOR: Roof
PROPOSED IIVIPROVEM}ENT LOCATION
Address: 4809 Anglevilla Drive, Ft Pierce
Legal Description: Anglevilla Blk 3 Lots 6 and 7-Lessrds and Canals
Property Tax ID #: 2406-504-0028-000-1
Site Plan Name:
Project Name: Reroof
Setbacks Front Back: Right Side
Left Side:
Lot No. 6 V
Block'No. 3
DETAILED DESCRIPTION:OF WORK ,
Remove existing roof material to deck; renail to code. Install self adhered underlayment and
new metal roof.
CONSTRUCTION IIVfORMAT1t7N
Additional work to e e orme under this permit —check a apply:
�jIn E1HVAC 11 Gas Tank Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers M Generator Roof 4�1 Roof pitch
Total Sq. Ft of Construction: 2456 S Ft. of First Floor:
Cost of Construction: $ 12330.00 Utilities:'n Sewer 0Septic Building Height: 15'
OUVNERJL'ESS',EE a E
'CONTRA(l"OR
Name Lorenzo and Deborah David
Name: Douglas E Roe
Address: 4809 Anglevilla Dr
Company: Code Red Roofers Inc
Address: 3341 SE Slater St
City: Ft Pierce State: FL
Zip Code: 34947 Fax:
Phone No. 772-971-1786
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
IT value of construction is �iZsoo or more, a RECORDED Notice of Commencement is required.
.a �!Po� k? aa.. �Y..a 5..�:� r�'wi. L» �� . � ,�"'' e ., f , d� . C3. .: tw �.: $m .. .'
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MORTGAGE COMPANY: _
Name: Douglas E Roe
-.n�. ,3,, v r'c.f, j }FY . .✓'�'C.`.
Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name: Lorenzo and Deborah David
Address: 4809 Anglevilla Drive, Ft Pierce
Address: 4809 Anglevilla Dr
City: Ft Pierce State:
Zip: Phone
City: Stuart
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address: 3341 SE Slater St
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 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 vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent'for'Owrrer Sign a a of ont ct r/License Holder
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF 4 - /#,V4!/1 COUNTY OF_Wu�kn)
The forgoing instrument was acknowledged before me
this 5_ day of 20Sby
Name f person making statement
Personally Known OR Produced Identification�-,__
Type of Identification
Produced T31---D
The fo going instru ent wa acknowledg efore me
this day of , 20by
1 / Y
Narq(elof person making statement
Personally K n ><— OR Produced Identification
Type of Identification
Produce
(Slgnatu a of Notary Public- State o F ri
Commission No. 1�5 (Seal)
REVIEWS
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ANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17