HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: kA �-a!s\ m Permit Number:
t "I TW1I � - °""'� RECEIVED
Building Permit Application APR 2 5 2019
Planning and Development Services _ ST. Lueie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: TILE REROOF
PROPOSED IMPROVEMENT=COCAFION
Address: 10211 ISLE OF PINES CT
Property Tax ID #: 3321-802-0018-000-6 SCANNED Lot No.12
Site Plan Name: St Lucie Q).11..
Project Name: GLANCY
(-DETAILED DESCRIPTION OF WORK; c�
TEAR OFF EXISTING TILE ROOF, RENAIL PLYWOOD TO CODE
DRY IN WITH 30# FELT, HOT MOP 90# FELT
FOAM DOWN TILE ROOF SYSTEM
4C6NSTRUCTION•INFORMATION V`
Additional work to be performed under this permit- check all that apply:
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof 6
Total Sq. Ft of Construction: 50 SQUARES
Cost of Construction: $ 38,120.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER%LESSEE"
-
ONTRACTOR- -=`<
Name DIERS, JERRY & JUDY
Name:JOHN TURNER
Address:620 WINDINGS LN
Company:STUART ROOFING
City: CINCINNATI OH State: _
Zip Code: 45220 Fax:
Phone No.
Address:132 NE DIXIE HWY
City: STUART State: FL
Zip Code: 34994 Fax:
Phone N0772-692-9854
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailstuartroofinginc@comcast.net
State or County License CCCO24411
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.
PPLEMENTALCONSJ'f3U�TJON,LIEN
I.9V1/ INEORM„�T[QN�,�.�.�
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DESIGNER/ENGINEER.
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
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.
(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
WIT"OUR LENDER OR ANAWORNEY BEFORE RECORDING YOUIVNOTICE OF COMMENCEMENT."
I
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S' ature of Owner/ Lessee/Contractor as Agent for Owner
S' ature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsTLUCIE
COUNTY OFsTLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this LOTH day of APRIL , 20 IR by
this LOTH day of APRIL , 20_ft by
JOHN TURNER
JOHN TURNER
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ignature of Notary Public -St s'" ." dMRILBRUAILEY
(Signature of Notary Publi
;.; ;, mmss nAGG208194
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=�? :,CommisslonLfGG208194
;In,202z
Commission No. ik�:or' a�i, Fain
Ommission No. `-zq,.. p Fyip11117,2022
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