HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INq MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 71 q Permit Nui
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
Residential x
9S' 0/
PERMIT TYPE: Residential Roofing SCANNED
PROPOSED INPROVEMENT LOCATION: BY
St. Lucie eounty
Address: 1.11 �.., cuacu nuau run I... uc, rnnn,n uvau,
Property Tax ID R: 3403-502-0148-500-1 Lot No.
Project Name: George R. and Josephine Smythe
DETAILED DESCRIPTION OF WORK:
Remove existing roof, re -nail decking, install self -adhered metal roofing underiayment and install 24-gauge 1"standing seam metal roofing system
GARAGE ROOF SECTION 4 / I � iJ -
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 14,550.00 Total Sq. Ft of Construction: 2,500
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 electricity:
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:
NameC?eon�e. a-75�ose -,we e-
Name: Brian Korth
Address: �f� (V, Cjhri s { e re. 2j
Company: FI. Contract Services, LLC
City: r,r � ?i ex c e. State:
Zip Code: 3'/VYO f Fax:
Address:1080 Loring Drive Apt. H
City: Merrit Island State: FI_
Phone No. n0 — 0YC0 (
Zip Code: 32953 Fax:
Phone No 800-327-1982
E-Mail:
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.
1.,
If value of HVAC is $7,S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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
commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF I�1tD ie cn
STATE OF FLORIDA
COUNTY OF $) a2 b
The f rgoing instrument was acknowledged before me
this dayof aRk/i .20Lf by
The forgoing instrument was acknowledged before me
this--Zdayof0&,,&P .20�by
r✓r ).-i kw-e,
y
-9/(nJ� 1.� � go fZ'II h
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification<
Personally Known OR Produced Identification K
Type of Identificat on
Produced
Type of Identifica '
Produced ��L
(Signature of Notary Public- State of Florida)
(Signature of Notary Public' State of Florida )
Commission No. 6& 23LW9 (Seal)
Commission No. 2.38d (Seal)
Robert P. Silverio
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Rev. 1/9/2019