HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETEF _ R APPLICATION TO BE ACCEPTED Date: �� �� _ Permit Number: 00 k 010
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Building Permit Application FEB oe ?ova
Planning and Development Services Sty Lug agar ment 4Cj�
Building and Code Regulation Division ty
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential DLL
PERMIT APPLICATION FOR: Roof
:PROP,' SEII'IMPRGVEMEIVTfOGAT10`N
r ,. ..., _" '
Address: 51 9 Alt VtLe3 Rl llb c k,,Ser i BP14,,6 fiL 3 i95 7
Legal Description: AAkkW 1 S44,La 10c., 4 C-ovido-kC�- to j1 P4Jc e 1 Si 9 dAdpro -
r&iA s6r�e. in Com(rov% 2Le.rrte-v1t-r
Property Tax ID #: L150a- JO t - d -t 0 5 ^ 0 0o- 3 Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Block No.
Complete removal of existing material down to deck, renal[ to code, instal new 30# underlayment and
metal roof
❑HVAC ❑ Gas.Tank []Gas Piping L_IShutters ❑ Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑d Roof �=, . ' }Roof,p chh
Total Sq. Ft of Construction: 6bo Sq��Ft.I of First Floor: SoO
Cost of Construction: $ y�U 5� Utilities: nSewer ❑Septic Building Height:
OWNER
SSEE , ` ��N
l> `r ycofRaTat
tt ram' 4 -
Name o (A
S'
Name: Douglas E. Roe
Address:IS Amb•w Cr.es+
City: Vrovl a n-4er
Zip Code: L t 9_77-S Fax:
Phone No. - -
dr SLR
State:/MT
-
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:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: John @coderedroofers.com
State or County License: CCC1326574
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION _._.J LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 ,
Signature of Owner/ Lessee/Contractorr Owner
STATE OF FLORIDA
COUNTYOF Sar�nk Il,rh (ouN
The forgoing instryyW1q��gGnt was acknowledged efore me
this Z day of %eGrvG V I 201�by
Arlo) , 5,erKenpty
Name of person making statement
Personally Known OR Produced Identification PC
Type of Identification
Produced AlZiX_
(Signature tary Public- State of Florida )
Commission No.
JOHN J.SAVARESE
MY COMMISSION d GG260667
REVIEWS I FRONT
REVIEW-1 -REVIEW
RECEIVED
lev.
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this f31 day of FR IWV"'z 200 % by
POLO/cr F-
Name of person making statement
Personally Known _ t OR Produced Identification
Type of Identification
(Signature of No u lic- State of Florida )
Commission No. (Seal)
-JOHN J. SAVARESE
„'dg EXPIRES: Se tem er 20, 2022
PLANS VEGETATI O
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