HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPI:ETED rift APPLICATION TO BE ACCEPTED
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Date: �'%�. % Permit Nu
SCANNED'&RED
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St, Lucie County
Building Permit Application JUN 21 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division 9 P
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof
'PRO�QSED LIVI,PRO,VEM!
NTLOCATION
Address: 147 Camino Del Rio, Port St Lucie, FL 34952
Legal Description:
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: Kelly Reroof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Removal of existing shingle roof system, re -nail of decking. Install Polyglass modified bitumen torch
� roof system
`'y1 V 451 Lk. i -kw z- -
CONSTRUCTI0N31NFORMATI0IVN3
Additional wor to be performed orme under this permit — check a apply:
EjHVAC L_J Gas Tank E]Gas Piping _ Shutters a Windows/Doors
11 Electric El Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1750 S . Ft. of First Floor: 1750
OSeptic
Cost of Construction: $ 9776 Utilities:]Sewer Building Height: loft
OWNER/LESSEE' x
CONTRACTOR
Name William Kelly Name: Jesus Vasquez, Jr.
Address: 147 Camino Del Rio Company: All American Roofing & Coating of FL
City.. Port St. Lucie State: FL Address: 340 SE Seville St
Zip Code: 34952 Fax: City: Stuart State: FL
Phone No. 772-285-8788 Zip Code: 34994 Fax: 772-781-4408
E-Mail: Phone No. 772-781-4410
Fill in fee simple Title Holder on next page ( if different E-Mail: Office@allamericanroofer.com
from the'Owner listed above) State or County License: CCC1329384 / 27197
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
•
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
of Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: )C. Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: lot Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicatea.
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 Commenceme t may result in your paying twice for
improvements to your property. A Notice of Commencement must be corded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult wit lender or an attorney before
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Signature of Owner/ LessL1e_&o#Pddr as Agent for Owner
Sig at is n o e
c
STATE OF FLORIDA
STA E O FLORIDA
COUNTY OF
COU TY F
The forgoing instrnt was acknowledged before me
this � day of ���� , 20 by
The rg ng i s ent was acknowledged before me
this y o� 20 by
J
WILLIAM KELLY
JESUS VASQ JEZ JR
Name of person making statement
Name of perso statement
Personally Known 51!_1_ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identificati
Produced
Produced
Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. GG 33Notary PuboSllilIa of Florida
Commission No. GG089399 ..QVP Sea P
Lary ublic state of Florida
Ina M. Pittman
c My Commission GG 089398
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Gina M. Pittman
Q My Commission GG 089398
OF fu Expires 07/15/2021
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
M
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
�•1 I v
DATE
COMPLETED
Rev. 8/2/17