HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED m
Date: 3 .. �� L� Permit Number. �q V ✓
Building Permit Application
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: TILE REROOF SCANNED
PROPOSED IMPROVEMENT LOCATION:
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Property Tax ID #: 3321-802-0016-000-2
Site Plan Name:
Project Name: GLANCY
I' DETAILED DESCRIPTION OF WORK: '• - -- - - -1 --
TEAR OFF EXISTING TILE ROOF, RENAIL PLYWOOD TO CODE
DRY IN WITH 30# FELT, HOT MOP 90# FELT
FOAM DOWN TILE ROOF SYSTEM
-CONSTRUCTION INFORMATION: "
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 40 SQUARES
Cost of Construction: $ 34,000.00
_Sprinklers _Generator
Sq. Ft. of First Floor:
Lot No.10
Block No.
Windows/Doors
X Roof � Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:-
CONTRACTOR`
NameGLANCY, DONALD
Name:JOHN TURNER
Address:3832 SW BIMINI CIR N
Company:STUART ROOFING
City: PALM CITY State: FL
Zip Code:34990 Fax:
Phone No.
Address:132 NE DIXIE HWY
City: STUART State: FL
Zip Code: 34994 Fax:
Phone N0772-692-9854
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail stuartroofinginc@comcast.net
State or County License CCCO2441 1
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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DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
Zip:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITIt YOUR LENDER OR ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC "
Sig ture of Owner/ Lessee/Contractor as Agent for Owner
Signatur of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFST LUCIE
COUNTY OFST LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 27TH day of FEBRUARY , 20 19 by
this 27TH day of FEBRUART , 20 M by
JOHN TURNER
JOHN TURNER
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced n /
"L W l�l�t./ � n
Produced n
W n^ � E�
(Signat re of Notary Public -State of Florida)
(Signature bf Notary Public -State of FloridaT
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/ i/ 19 APRILBRUMLEY APRIL BRUMLEY
;Ri `• CommissionIGG208194
CommissionRGG208194 - -