HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: SC� Permit Number: IFr��—(,r�J,y121
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof,
PROPOSED IMPROVEMENT LOCATION
Residential X
Address: 125 SE Naranja Ave.
Legal Description: RIVER PARK -UNIT 5 BLK 47 LOT 24 (MAP 34/28N) (OR 3276-1171)
Reroof : Tear -off existing asphalt shingle roof and replace with new asphalt shingle roof
CONSTRUCTI0N INFORMATION
Additional work to be nerformed under this permit— check all that. apply:
L_jHVAC _ Gas Tank LiGas Piping _ Shutters a Windows/Doors
11Electric 0 Plumbing E]Sprinkl&r "-�, Generator W1 Roof Roof pitch
Total Sq. Ft of Construction: 2,000 S Ft. of First Floor: 1,592
o
Cost of Construction: ,��� 7D Utilities. _ Sewer [:] Septic Building Height: 13 ft
OWNER/LESSEE. ,,
CONTRACTOR -
Name Guy M Edwards
Name: John F Durham
Address: 1094 Freeport Rd
Company: Durham Brothers, Inc.
Address: 1371 The 12th Fairway
City: Kitanning State: PA
City: Wellington State: FL
Zip Code: 16201 Fax:
Phone No. (724) 859-6938
Zip Code: 33414 Fax: (561) 594-3547
E-Mail: Gedwards10949gmail.com
Phone No. (561) 315-1835
E-Mail: johnfdurham@msn.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC 1326757
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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S(JPPLEMENTAL CQ STRUC7tC}(, LIENLAUU I NORIIATIfJN
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DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address: i
Address:
City: State:
City: Wellington State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 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 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
rnmmanrincr wnrk nr rprording vour Notice of Commencement.
Si Contractor/License Holder
ignatu__ r� ofOw/"L se see/Contractor s Agentffor0wner
n u of
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 20_ by
this day of 20_ by
,JotlN
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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Signa ,u�rQ$ '-otarw iabrid Stat f Florida)
(Signatur f Nota ub S e of F a )
Commission NoFF1 Z (Seal)
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Commission No. 12�'I EGO
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REVIEWS
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SEA TURTLE
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COUNTER
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17