HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: V-.�OV 1
RECeWo
FEB 19 '2019
Building Permit Application Po�?nlctlnaoa �_
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 Residential X
PERMIT TYPE: Reroof SCANNED
PROPOSED IMPROVEMENT LOCATION: BY
St I iirio (n +
Address* JO 10 oCnl rll IC UI.
Property Tax ID #: 1327-801-0033-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot N0.29
Block No.
Remove tile, renail plywood, apply 30# felt and self adhering modified bitumen undedayment. Install galvanized metal,
two self flashing skylights and flat concrete tile. On flat roof, apply two layers of SAV and one layer of SAP.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 4600
Cost of Construction: $ 36,000.00
Sq. Ft. of First Floor:
—Windows/Doors
Roof 6/12 Pitch
Utilities: _Sewer _Septic Building Height: 1
OWNER/LESSEE:
CONTRACTOR:
NameAndrea Kochanowski
Name: David Packard
Address:3313 Bent Pine Dr.
Company: Packard Roofing & Waterproofing, Inc.
City: Ft. Pierce FL State: _
Zip Code: 34951 Fax:
Phone No.772-834-4692
Address:2182 NW Reserve Park Trace
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: 772-468-9978
Phone N0772468-3723
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ssmith@packardroofing.com
State or County License CCCA1 7517
it value of construction is SZ500 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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, 1 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
"YARNING 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFst wda
COUNTY OFSL Luda
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this tmb day of February 20_ by
this 19te day of February . 20_ by
David Packard
Da dd Packard
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known 1� OR Produced Identification
Type of Identification
Type of Identification
Produced
y
Produced
(Signature of Notary Public-
Commission No.
, Ve M1 STEPHANIEP.SMITH
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