HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONFrom: Freedom Roofers Fan: 17722174459 1 To: ST. LUCIE COUNTY Fax: (772) 462-1579 , Page: 3 of 10 04/12/2019 9:27 AM
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/12/19 Iy0 AA 3
Planning and Development Services
_Building and Code -Regulation -Division -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
SCANNE® rmit Number: o
BY
St. Lucie County ape RF�F`vFo
Building Permit Applicat 12Zo1B
, I i C`CPO wry e0t
Commercial _ Residential X
I PERMITTYPE REROOF
FR!$si?,i'�MP*Ii Lt)C1T[QfF _ —�
Address 423 POPLAR AVENUE, PORT ST LUCIE, 34952
Property Tax ID #: 3419-510-0141-000.1
Site Plan Name: GENE LOWE
Project Name: REROOF
TAKE EXISTING ROOF OFF AND REPLACE WITH NEW 5V METAL ROOF
14-0212.06 / FL177WR1
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 2,376
Cost of Construction: $ 11,800
_ Generator
Sq. Ft. of First Floor:
Lot No.23
Block No. 14
__._ Windows/Doors
_ Roof 3/12 pitch
Utilities: _ Sewer _ Septic Building Height:
NameGENE LOWE �,.:,.
M1 m fi F
I Name;LEE DINE BE
Address:1000 OSCEOLA DRIVE
I Company: FREEDOM ROOFERS
_
City: FT. PIERCE State: _
Zip Code: 34982 Fax:
Phone No.M-466-5530
Address:5575 US HWY 1, SUITES 1 & 2
City: VERO BEACH State: FL
Zip Code: 32967 Fax: 772-217-4459
Phone N0772-318-4600
_
E-Mail:
Fill in fee simple Title Holder on next page (if different , i
from the Owner listed above) 1
� _ I
If values of t'nncfrrmNnn ,� C�enn ... ...
E-Mail 9reatroofs@freedomroofers.com
State or County LicenseCCC1330900
___.
__._._____.'___ ,,,•,.,,.,c„�o.nmu n r eymreu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
From: Freedom Roofers Fax:17722174459
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To: ST. LUCIE COUNTY Fax: (772) 462-1578 Page: 4 of 10 04/12/2019 9:17 AM
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DESIGNER/ENGINEER: Y Not Applicable MORTGAGE COMPANY _
Name: Not Applicable
Address:
City: State: City: State:
Zip: Phone _— Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
City: i
- -Address:— Address: city:
ZIP: Phone: iPhone:
--
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit. which is in lic makes no
any applicable Home Ownerrs Assoc permit
rules,abyla vs or and covelna Ots that build
ay restrict or prohibit such
structure. Please consult with your Home owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, t do hereby agree that t wilt, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION_ IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOU ENDER O TTORNEY BEFORE RECORDING YOUR NOTI • COMMENCE NT_$,
i —r
Signa - n ry=Eessee/ tractoras tfor Owner Signa of Contractor Icense Holder 1
STATE OF FLORIDA 1 STATE OF FLORIDA
COUNTY OF ir0WJriVeR COUNTY OF NMANnIVER
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me i
this 12_ day of APRIL
20 d by this 12 day of PFRI= " 204 by
LEE ONENeERG
L EE DINENSERG
Name of person making statement. Name of person making statement.
Personal) Known x ' Y OR Produced Identification _ Personally Known x OR Produced Identification Type c Identification —`
Produced Type of Identification
Produced_
(Signature of Notary Public- - i nature of Notai Pubklo- ate An a i.ev nNNETT MCGflCflY g Y ANNETTEMGGH08Y
'P' 4 Ulu Pu6'ic $;ateNFbrida '".1` No'alypu5lic-Sta(eof Florida
Commission No. GGwsass //�S�ea4�onmmon GG076355 mmission No. J
k Ei GGdTe;S56 {^rY\1 ? (S6@k)RiSSlolttl GGC76355
' MyComm NplmsF623,2021 - saa
MyCOmm. Expiresfe1,23,202t
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW 1 REVIEW REVIEW REVIEW
DATE —
RECEIVED
DATE '
COMPLETED
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