HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Cy/' 1'
Date: K Permit Number: lV �I� D
SCANNED
t —2 BY
St. Lucie County RECEIVED
- - Building Permit Application
APR 0 2 101f1
Planning and Development Services
Building and Code Regulation Division permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT TYPE: Roofing
PROPOSED1IIVIPROV0M,'tNT1bC-ATION. 17
Address: 2872 Lucy Ln, Fort Pierce, FL 34981
Property Tax ID #: 3405-802-0008-000-0
Site Plan Name:
Project Name: Fried Residence
Lot No.
Block No.
DETAILED DESCRIPTION`OF WORK:
;.
Re -Roof, Tear Off, Install Underlayment, Install accessory metals and metal panels.
0NSTROCTTC+N'INFORfv1ATI0N': Y
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
To tos
, . o CConstrueti n: H Z 5 q t0l JYS Sq. Ft. of First Floor: _
„ost fCpnstuLCtion. 137 b50 Utilities: _Sewer _Septic
mdc ws/Doors
—Roof �I Xwotc
Building Height:
OWIVEti/LESSEE:` 4
.CONTRACTOR. T, 7
Name Alvin Fried
Name:Juan Martinez
Address:3085 Pine Hill Rd
Company:Total Roofing Systems Specialist
City: Somerset State: EjL
Zip Code:42503 Fax:772-872-8033
Phone No.772-872-8030
Address,3201 SE Dominica Terrace
City: Stuart State: FL
Zip Code: 34997 Fax: 772-872-8033
Phone N0772-872-8030
E-Mail:Samira@totalroofingsystems.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Samira@totalroofingsystems.net
State or County License C C C 13 3 a l 8 Fi
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. .
sAWRA M1S. GONZALEZ
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Notary Public -State of Florida
'
Commission 4 GG 1973'8
My Comm. Expires mar ia, 2022
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SUPP[EME,NTAL CONSTRUCTION LIEN, LAWaINFORMATION:_,.,
;
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
T Not Applicable
Address:
Address:
City:
Zip: T Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ---;w
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trig Z day of Nave+ 20 1`+ by
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Name of person making statement.
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krs ally Known OR Produced Identification
Personally Known OR Produced Identification
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Type o ntification�'t
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(Signati a of otary Public- Sta&zfflori 4y/t/-o��^ya:�y com ,�.
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Commission No. GG 1973 1 (S Ij%'8� a�z` °
Commission No. d((s 1973W (Seal)
REVIEWS
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