HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONFrom: Freedom Rooters Fax: 17722174459 CTo: ST. LUCIE COUNTY Fax: (772) 462-1578 image: 3 of 5 04/12/2019 6:16 AM
All -APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/11/19 Permit Number: _(ao q— 03
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Building Permit Application 0R I
Planning and Development Services Pe/on 21i7J9
Buildng and de Regulation sion tLueOcunty
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23001 Virginia
Fort Pierce FL 34982 ent
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
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Address: 1000 OSCEOLA DRIVE, FT. PIERCE, FL 34982
Property Tax ID #: 3409-801-0005-000.8 Lot No.5
Site Plan Name: GENE LOWE
Block No.
Project Name: REROOF
ETAKE
ISTING ROOFS OFF AND REPLACE WITH NEW 5V METAL ROOF AND FLAT ROOF
FL16027-R2 / 14-0212.06 / FL17796.6
Additional work to be performed under this permit — check all that apply:
_Mechanical — Gas Tank u Gas Piping — Shutters _ Windows/Doors
_Electric —Plumbing _Sprinklers _Generator _Roof 6112 Pitch
Total Sq. Ft of Construction: 2,873 Sq. Ft. of First Floor:
Cost of Construction: $ 18,700 _ Utilities: _ Sewer _ Septic Building Height:
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NameGENE LOWE
Name:LEE DINENBERG
Address:1000 OSCEOLA DRIVE
Company: FREEDOM ROOFERS
City: FT. PIERCE State: _
Address:5575 US HWY 1, SUITES 1 & 2
Zip Code: 34982 Fax:
City: VERO BEACH State: FL
Phone No.772-466-5530
Zip Code: 32967 Fax: 772-217-4459
E-Mail:
Phone N0772-318.4600
Fill in fee simple Title Holder on next page ( if different
E-Mail 9reatroofs®freedomroofers.com
State or County LicenseCCC1330900
from the Owner listed above)
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.
From: Freedom Roofers Fa: 27722174459 r 1 To: ST. LUCIE COUNTY Fax: (772) 462-1578 -^'Page: 4 of 5 04112/2029 6:16 AM
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DESIGNER/ENGINEER: x Not Applicable
O TGAGE COMPANY. Not Applicable
Name: —
Name:
Address: i Address:
City:
__ State: City: State:
Zip: Phone � Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Applicable
Name: Name: _Not
Address: Address:
City: City:__
Zip: Phone: I Zip: Phone:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that nowork or installation has commenced prior to the issuance of a permit.
wthlch is In conWict with any applicable Home OwnerstAssociationl rulesabylaws or andpcovenants that may estrict 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 LENDER OR BEFORE RECORDING YOUR N01ICE OF COMMENCEMENT."
/ATTORNEY
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Sign ure of 0v ner/ Lessee/Contractor as nEntt for Owner SignitaFe of C6Atcactor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF INDiAN RIVER COUNTY OF INDIAN
RIVER
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged ITie
( }before
this 11 day of APnIL 20 /q by this +r day of APRIL , 2O / l by
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LEE DINENaERG LEE DINENBERG
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identificationtt
Type of Identification
Type of Identification
Produced__ I Produced
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(Signature of Notary Public- t - Signature of Notary Public- S
;:�tri• ANh MCGRORY
Commission No. 00076555 ,�dq ;�i,'--. 11 ryPUblk-State offFlorida I a �%�.:*. ANNETTE ACRY
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