HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number. 6-1ot
-RECEIVED -- - - - -
0
Building Permit Application JAN 0 3 2019 84%
Planning and Development Services Permitting 9e artmeat By
Building and Code Regulation Division st, Lucie 719yREv Li% C
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 2405 elizabeth Avenue, Fort Pierce, FL
Legal Description: - Sec/Town/Range: 28/355/40E
Property Tax ID #: Parcel ID: 2428-604-0039-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
!DETAIL O WSCRIPTION O;F WQRK:
Remove existing low slope roof. Install tapered poly(so insulation to the wood deck. Install a Folyglass Iwo Ply
SBS modified bitumen roof system.
a,nn, ".IN w ,+c
HVAC
n iw uicu uuue, um Pennrt— cnecR au apply:
Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric
0 Plumbing ❑Sprinklers 11 Generator 10
Roof
total Sq. Ft of Construction: 314 S Ft. of First Floor:
Cost of Construction: $ 6,200.00 Utilities: Sewer Septic Building Height: 10-feet
OWNE-R/LESSEE:? _
CDNT,RACTORc
Name Earl A Schuler and Patricia A Schuler
Name: Christopher A. Long
Address: 2405 Elizabeth Avenue
Company:
The Roof Authority, Inc.
City: Fort Pierce State: FL
Zip Code: Fax:
Phone No. (772) 429-0537
Address:
6771 North Old Dixie Highway
City:
Zip Code:
Phone No.
Fort Pierce State: FL
34946 Fax: (772) 468.2247
(772)468.7870
E-Mail: def_mute@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: tral993@gmail.com
State or County License: CC C056933
it vaiue or conwuctwn is pejuu or more, a Rceunueu nonce or commencement is required.
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City
Zip: Phone:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
—State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucle Counttyy makes no
which is in conWict with ar
structure. Please consult v
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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 Commenremant_ ,) ,
_ Signature. of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this -2f day of December 20 1 Hby
or person acknowledging j.wner/Lessee/Agent Printed
STATE OF FLORIDA
COUNTY OF— _St_ Lurie
The forgoing instrument was acknowledged before me
this ZZday of December 2018 by
Christopher A. Long
(Name of person acknowledging) Contractor's Name
lJsw�a�—
(Signature of JNotary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Iden[Ification Produced �htv�� Uwse Type of Identificati n Produced or Timnthy W. Sutton
Commission No. S y� (Sm*y W. Sutton Commission No. l cir 7` L STA*Fj� FLORIDA
NOTARYPUBLIC o
' P Gemrrttr GG188982
` = Commit GGt 85982
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Revised 07/15/2014 Ws/hcE tg�e Expires 3120/2022
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