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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 2nd 2019 SCANNEDPermit Number: qO 5 d (6�
BY_.:
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services MpY 0 7 1019
Building and Code Regulation Division De artment
2300 Virginia Avenue, Fort Pierce FL 34982 Pet St, Lucie Countv
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6506 Doris Drive, Fort Pierce FI 34951
Property Tax ID #: 1301-610-0092-000-1
Site Plan Name:
Project Name:.McFather Roof
Lakewood Park Unit 8-13
DETAILED DESCRIPTION OF WORK:
Remove and replace existing shingle roof with new 26 gauge 5-v metal roof over
self -adhered underlavment
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 2600
Cost of Construction: $ 13,700.00
_Sprinklers _Generator
Sq. Ft. of First Floor: _
Utilities: _ Sewer _ Septic
Lot No.22 & 23
Block No. 5
-Windows/Doors
Roof fi" 'iIP1:�r b2 _2 .6,
.. i•.. '_Pitch,
Building Height: 12'
OWNER/LESSEE:
CONTRACTOR:
Name William & Kathy McFather
Name: Rene Reyes
Address:6506 Doris Drive
Company: MY FLORIDA ROOFING CONTRACTOR LLC
City: Fort Pierce State:
Zip Code: 34951 Fax:
Phone No.352-514-3055
Address:1140 17th Place
City: Vero Beach State: FI
Zip Code: 32960 Fax:
Phone N0772-453-7219
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailrs@myfiroofingcontractor.com
State or County License ccc1326546
it value of construction is.52500 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:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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.
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
IMPROYN�TO YOUR PROPERTY. A NOTIC OMMENCEMENT MUST BE RECORDED AND
(((((( POST)EOR
ON THE SITE EFORE THE FIRST INSPECTION. 1 U INTEND TTO6�p�BTAAININFFI1N11ANCING, CONSULT
WITHUR LE ER R A ATTORNEY BEFORE RECORD YOUR OTICE O MENCE T_"
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"Signa re o caner/ Lessee/ ntractor Agent for Owner
»Sigh a of r or L e
STAT OF FLORIDA
STA E OF FLORIDA
COUN OF
CO TY OF
I
The forgoing instrument was acknowledged before me
The fo going instrument was acknowledged before me
this _ day of 20_ by
this _ day of 20_ by
EeR .E4-9
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Name of person making statement. V
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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,U Gu r-
F, uqd� 2
(Signature of Notary Public- Stati of Florida)
(Signature of Notary Public- State W Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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