HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIOWTO BE ACCEPTED �O O
Date: 1/7/2019 Permit Number: I - OCR
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Building Permit Application JuXedaa6unalw
Planning and Development services blot L 0 NVF
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 a3A1a0311
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERM ITAPPLICATION FOR: Roof SCANNED
Address: 9316 Scarborough Court, Port St Lucie, FL
Legal Description: PODS 12 AND 13 PUD 1 AT THE RESERVE SCARBOROUGH ESTATES
(PB 45-13) LOT 12 (OR 2970-2910: 3646-2958)
Property Tax ID #: 3322-507-0017-000-6 Lot No. 12
Site Plan Name:
Project Name: Smith
Setbacks Front Back: Right Side: Left Side:
Tear off existing file roof. Install new Boral Barcelona 900 the with TU Max underlayment roof system.
HVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 6,819
Cost of Construction:A,1940.)S
Block No.
Gas Piping ❑ Shutters ❑ Windows/Doors
Sprinklers ❑ Generator 121 Roof ❑ Roof pitch
S Ft. of First Floor:
Utilities:q ❑Sewer ❑Septic Building Height:
OWNER/LESSEE.=" <: -
CONTRACTOR
Name David Smith JR)
Name: Troy Glowth
Address:9316 Scarborough Court
Company: Advanced Metal Roofing, Inc.
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. AI4— ` k —vii 1 01
Address: 4640 SE Quail Trail
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. 772-678-6654
E-Mail: dsmith@hunter.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: lisa.advancedroofing@gmail,com
State or County License: CCC1327906
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTIONLIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
__
Address: —
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: 4640 SE Quail Trail
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 our Notice of Commencement.
Signature of Oyr(er/ Lessee/Contractor as Agent for Owner
Signature of Conty ctor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Marun
COUNTY OF Martin
The f aing instrument was acknowledged before me
January
The forgoing instrument was acknowledged before me
January
this day of 20A% by
thisl day of , 20% by
Troy Glowth
Troy Glowth
Name of person making statement
Name o erson making statement
Personally Known, OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sign ure of Nota r P li - t f I
(Sign ture of Notary Publi St to of Florida )
Notary Public State of FI 2a
CommisF4?--"caRenee Rabahoot I)
yR Notary PUD& state Ot
Commissio r� ry I)
My Commission GG 218220
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a My Commission G6 ha220Expires
Expires O511512022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
O
COMPLETED
/
Rev.8/2/17