HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: A —8—) 1Permit Number: --voq �7 �I 3
• -� - RECEIVED t7Ur-ill f
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Building Permit Application APR 0 S 2018 St. Lucie
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 x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 133 Commonwealth Ct. Fort Pierce, FI. 34949
Legal Description: Queens Cove Unit 1 Blk 14 Lot E
Property Tax ID N: 1414-701-0127-000-2 Lot No.
Site Plan Name:
Project Name: Glynis Sherman
Setbacks Fr
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
W
Tear off existing Slope and flat roof to wood deck. Install Tribuilt Sand SA Underlayment FL 16048-R6
Install Owens Corning Tru Def Dimensional Shingles FL10674-R13. On Flat Roof Install Polyglass
Elastoflex SAV base and Polyflex G cap sheet FL1654-R23
CONSTRUCTION INFORMATION:
HUUw undI wmrc r.0 ue peiiurrntu unuer uuc Perrn n.— cnecn du dppry:
In
OHVAC 0 Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing S inklers1:1 Generator R1 Roof 4:12 Roof pitch
P h O
Total Sq. Ft of Construction: 3364 3 ��0 . r S Ft. of First Floor:
Cost of Construction: $ 16,715.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Glynis Sherman
Name: Christopher A. Long
Address: 133 Commonwealth Ct.
Company: The Roof Authority, Inc.
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.772-468-4304
Address: 6771 North Old Dixie Hwy.
City: Fort Pierce State: FL
Zip Code: 34946 Fax: 772-468-2247
Phone No. 772-468-7870
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: tral993@gmail.com
State or County License: CCC056933
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTALCONSTRUCTION LIEN`LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: 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 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.
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Signature of O(vner/ Lessee/Contractor as Agent for Owner
Signat a of Co tractor/License Holder
STATE OF FLORIDA I/
STATE O LORIDA J
COUNTY OF S T f ./vC" r_—
COUNTY OF J /- L. UA! 1 €
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this IQN•dayof /'/)ar L- 204 by
this _ day of 20_ by
CI,(A,f % A- S",.d
r_ )4,mot S7oJI fl_W_ t ,
—lame of person making statement
�
Name of persoon making statemei
Personally Known OR Produced Identification
Personally Known v OR Produced Identification
Type of Identification
Type of Identification
Produced '_7L.b L .
Produced
wt*' -(Signature
of Notary Public- State of Florida I
(Signaturb of Notary Public- State of Florida
T' othy W. Sutton
Commission No.�C7 )8Sr187— TARY PUBLIC
li othy W. Sutton
Commission No. I Fl G82_ Apt Sea((jj�
Ve STATE OF FLORIDASTATE
NdTARY PUBLIC
OF FLORID'
Comm# GG185982
2
srNCE 19� Expires
3l201202
SIN a�0
N
x rQs 3/20l2022
DWRIGROVE
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA'Tr/
LE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17