HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1. / 2. 0
Permit
Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
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EIVE®
JAN 18 2019
Permitting Department
St. Lucie County, FL
PERMIT TYPE: Residential Roofing
PROPOSED INPROVEMENT LOCATION: SCANNED
BY
Address: 4uwt t nnstensen Koaa ron Tierce, rionaa aaau i St Lucie counfir
Property Tax ID N: 3403-502-0148-500-1
Project Name: George R. and Josephine Smythe
Lot No.
DETAILED DESCRIPTION OF WORK:
Remove existing roof, re -nail decking, install self -adhered metal roofing undedayment and install 24-gauge V standing seam metal roofing system
1710: -::t )VO7. F- rre+Al_ 6)/1zr
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 35,500.00
Total Sq. Ft of Construction: 6!EO— ._
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building:_ Temp. Bldg./Shed used exclusively for construction:
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricit
Other: Flood Zone:_ BFE:_ Floodway? Y%N If Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWNER LESSEE:
CONTRACTOR:
Name eec�f"-O'. .].K:;'f lA C
Name: Brian Korth
Addre �§:`*CA.rrr faa sr `ice,
Company: FI. Contract Services, LLC
City: /'or F ?Jero a State:F `
Address:1080 Loring Drive Apt. H
City: Merrit Island State: FI_
Zip Code: ferfe ( Fax:
Phone No. 6"1 —3 26 —6Y61
Zip Code: 32953 Fax:
Phone No 800-327-1982
E-Mail: ifar P ed# -
Fill in fee simple Title Holder on next page ( if different
E-Mail ryan@800FCS1982.com
State or County License CCC 1331576
from the Owner listed above)
If 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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY:
_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
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
cnmmpncing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Cont
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA,,,OUNTY
OF Y2 i dA
COUNTY OF i
The forgoing instrument was acknowledged before me
The forggqi--ng instrument was acknowledged before me
thisI Kilaay of .\ c_--, - , 201,_�_ by
this Jsaay of 20j_1 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification-,
Personally Known '-�OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced aloe !y"Z �--
(Signatur o otaryPublic-S 6Fjda) My Commission Ex
I " n ture o ate
March 06, '2021
Commission No. �' o�(Se I&mmisslon No. GG
DOLORES RENEE' SII� O
4$BTIm ssion No. F 9 �gJ63 *eNPoMM>SsroNu FM
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OFF �
ENMES: Mar&27,
a
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Kev. 1/912519