HomeMy WebLinkAboutappII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �3t� ` Permit Number:
-
;1 - 1- Enj
CEIVED
Building Permit Applicati ���gPlanning and Development Services
Building and Code Regulation Division caun�y permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: RE -ROOF —
PROPOSED IMPROVEMENT LOCATION:
Address:
6803 BELLEAIR AVE, FORT PIERCE, FL 34951
Property Tax ID #: 1301-611-0261-000-0 Lot No. 13
Site Plan Name: Block No. 112
Project Name: MCMULLEN RESIDENCE
DETAILED DESCRIPTION OF WORK:
ROOF REPLACEMENT r 1;113 /71 %� '�W'
e /' 1 1 i1 /i /-._ I I O_- l
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator X- Roof Pitch
I Sq. Ft of Construction: 2240
of Construction: $ 1 � � on r
Sq. Ft. of First Floor: N/A
Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PATRICK MCMULLIN
Name: STEPHEN DALE BISCHOFF II
Address: 6803 BELLEAIR AVE
City: FORT PIERCE State: _
Zip Code: 34951 Fax: N/A
Phone No. 772-519-0294
E-Mail: N/A
Company: VERO BEACH ROOFING INC
Address: 835 10TH AVE SW
City: VERO BEACH State: FL
Zip Code: 32962 Fax: N/A
Phone No 772-770-3782
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail VEROBEACHROOFING@HOTMAIL.COM
State or County License CCC1330283
'f value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
AL
SUPPLEMENTAL CONSTRUCTION LMATION
2
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x.
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DESIGNER/ENGINEER: x Not Applicable pp
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.
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
n accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
he 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
P TED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
,e!!!�1W1T1J YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Ign ure of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
COUNTY OF INDIAN RIVER
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 25TH day of ,TUNE 20_19_ by
this 25TH day of JUNE 20_19_ by
PATRICK MCMULLIN
STEPHEN DALE BISCHOFF If
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Produced KNOWN ;;,�:oLB•; STACI DAVIS
.: Notary Public. State of Florida?
Commission No. FF 953166
'�'grFy My Comm. Exp. Jan. 24, 202
Type of Identification
Produced KNOWN ;os:Pu'• STACI DAVIS
= Notary Public. State of F
�. Commission No. FF 95
* ? q�F;, My Comm. Exp, Jan. 24
�r-11
for
1
211
ignature of Notary Public- State of Florida)
(Si ature of Notary Public- State of Florida )
Commission No. FF953166 (Seal)
Commission No. FF953166 (Seal)
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ev. 217119