HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1904-0219
Date: 4/9/19
Permit Number:
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application SC BYN�®
St. Lucie County
Commercial Residential /
PERMITTYPE: ReRoof
PROPOSED IMPROVEMENT LOCATION:
Address: 5702 Raintree Trail
Property Tax ID N: 3402-610-0149-000/2 Lot No. 4
Site Plan Name: Block No. 76
Project Name: Katelvn Meadows Shed Permit
I DETAILED DESCRIPTION OF WORK: I
ReRoof of SHED usinq shinqles FL5444-1113 in coniunction with permit # SLC 1810-0664
Tearinq off asphalt shingles; 30# felt underlavment
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_Electric _Plumbing _Sprinklers _Generator L Roof y 12 Pitch
Total Sq. Ft of Construction: 218.91 Sq. Ft. of First Floor:
Cost of Construction: $ 155.91 Utilities: _ Sewer _ Septic Building Height: 1 D,
OWNER/LESSEE:
CONTRACTOR:
Name Katelvn Meadows
Name: William B. Edwards
Address: 5702 Raintree Trail
company: Storm Team Construction
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-249-9745
Address:4050 S US HWy 1
City: Jupiter State: FL
Zip Code: 33477 Fax:
Phone No 740-274-3004
E-Mall:
Fill In fee simple Title Holder on next page (if different
from the owner listed above)
E-Mail Dermlts@stormteamusa.com
State or County License CCC1331451
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: IC Not Applicable
Address:
City: State:
Zip: Phone:
Address:
Zip:
COMPANY:
Applicable
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 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 INFEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
AZ11 � J/�
G✓/1/.X y
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF
STATE
COUNTYOFORIDA
naha Sea.c.L
OUNTOYOFORIIDA, �3t2c�
The for oing instrum nt was acknowledged before me
The forgoing instrument was acknowledged before me
this 7dayof &Art I 20Lt by
this ,$ day of 6A I 20Lt by
lf,l!r 8, Edwapds
b011114g l S. Edomds
I
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
Produced
Produced
(Signature of No Public- Sta a of Flor'
t f I nda )
(SignaturerdpfN
Commission '� Notary Publics d
• a Kevin
Nctaiy Pubkc state dfjl@ppp
Commissioin F'itlm
903803
Ex
E C �190.8 707939
irea 02119/2023
In
REVIEWS FRONT�REVIEW
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
M NGROVE
COUNTREVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 217119