HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-ALL AFVLICABLLIE INF�O� MUST BE C, PLETED FOR APPLICATION TO BE ACCEP
Date: Permit Number: V
® Building Permit Application
Planning and Development Services
BAN 1 8 2019
Building and Code Regulation Division ST• Lucie County, permitting
2300 Virginia Avenue, Fort Pierce FL 34982
-Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _K
PERMIT APPLICATION FOR: Roof I
Address: (_0 33 L,) Eigr%nIi le, «- Tcr
Legal Description: p6rk f�y)o SweS•-(-'h4J'z
915
r.c,e 16 f- 3 5 7
Property Tax ID#:)312-503-6(30-0o6— S Lot No. 3Is1
Site Plan Name: JVV-1 i 6,Y)ae_ C;OAtA Block No.
Project Name: CGalR k gx roo e
Setbacks Front Back: Right Side: Left Side:
Complete removal of existing material down to deck, renail to code, instal new self adhered
underlayment and tile roof T% \, *o -t- l \-P,
rjuaaionai worKio ue errurmeu unuerinis perms—cnecK an apply:
EIHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers I Generator Z Roof Roof pitch
Total Sq. Ft of Construction: Z L t (a S Ft. of First Floor:
Cost of Construction: $ 0 "5. lob Utilities:Sewer OSeptic Building Height:
Name /t/eYA&viAft
Address: YPrt04 149.9— Ter -
City: l-f . 0 i ,ey LQ_ State: 'FL
Zip Code: 3119 51 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above) •
Name: Dnunlas E_ RnP
Company: Code Red Roofers
Address: 3341 SE Slater St.
City: Stuart State: FL
Zip Code: 34997 Fax: 772-287-7763
Phone No. 772-287-2829
E-Mail:410hn@coderedroofers.com
State or County License: CCC1326574
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP�LE(YIETAL CONST,R
QM1ICLFNLAV1(INFOFtMATC£11
s� '#
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
-Name:
-Name: —
----- -- --
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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
commencing work or recording our Notice of Commencement.
g. W4�
A7 2 " 6---,
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Signature of Ow r esse Contractor as Agent for Owner
SSIgnature of contractor/License Holder
STATE OF FLORIDA,r�
STATE OF FLORID
COUNTY OF /V IL1 Irki n
COUNTY OF Ci Y�C cln
The forgoing instrum nt was acknowledged before me
� F,L�.
The forgoing instru jjent was acknowledges( before me
1-7 th
this day of 21 l 9q by
this day of c 10.nu _ 20 by
�ll�r[or2e i�e�k
,416S [-_. 1243-0—
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification p4,
Personally Known L OR Produced Identification
Type of Identification
Type of Identification
Produced FL 10 L,
Produced
F`" % JOHN J. SAVARESE
WA MYrOMMTqqTnN4(1OM0667
(Signature of �t�11�1PtRS4atofb6idBid��
(Signature olic-State of Florida)
N t
Commissionf N J. SAVARE
F{ mmission No. (Seal)
OMMISSIONHGG260
EN*7,09"EXPIRES:September 20, 2
67
2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
JOHN J. SAVARESE
MY COMMISSION H GG260667
ram„ EXPIRES: September 20, 2022