HomeMy WebLinkAboutBUILDING PERMIT APPLICATONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/31/2019
Permit Number:
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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PERMITTYPE:Re-roof -yv�e ��1 BY
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PROPOSED INPROVEMENT LOCATION':6105 Pinetree Dr, Fort Pierce; FL 34982 Hde
Address: 6105 Pinetree Dr, Fort Pierce, FL 34982
Property Tax ID.#: 3402-603-0166-000-5
Site Plan Name: Indian river estates -unit 02 blk 11 lot 42 and n14 of lot 43 (map34/11s)(or682-2808 9731409)
Project Name: Smith Re -roof
DETAILED DESCRIPTION OF WORK:
Lot No.42
Block No. 11
Tear off existing shingle roof system. Install peel and stick modified underlayment. Install 26ga. galvalume 1" standing seam metal
roof system to code with 1" panhead screws every 6" in the field.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumb' n _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: 1647
Cost of Construction: $ 20,000.00 Utilities: —Sewer _Septic
Windows/Doors
Roof 5 Pitch
Building Height: 20'
OWNER/LESSEE:
CONTRACTOR:
Name William & Anita Smith
Name: Steven Drake Marston Jr
Address:6105 Pinetree Dr
Company: Manta Ray Construction
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-631-5086
Address:1193 SE St. Lucie Blvd Suite 223
City: Port St. Lucie State. FL
Zip Code: 34952 Fax:
Phone No 772-284-2889
E-Mail: anita.errico-smith@fnf.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail stnuttz@gmail.com
State or County License CCC1330490
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION' .
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Address:
City:
Zip: _
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
Zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy 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 Ptend to obtain financing, consult with lender or an attorney before
commencing work or recording Vbur No ice of Commencement.
ignature of Ownerl ss L ee/Contractor s Ag nt for O ner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ��-- i C,' °U
COUNTY OF 9' L 0 C 16
The for oing instrument was acknowledge before me
The for oing instrument was acknowledged before me
this day of Y r6i 1 20by
this day of Mo r ck 20A9 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification,
Personally Known OR Produced Identification
Type of Identification
Type of Identification
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EXPIRES April 04, 2021
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