HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number.
BY
``s' €'"`Y St. Lucie County
RECEIVED
Building Permit Application Mpy 2i VA
Planning and
Services "L Department
Building and CRegulatioDivision ft'doun
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:re-roof -Metal hovtS-r✓
PROP05trilMPROVEMENT,LOCAIION
Address: 5710 Raintree Trail Fort Pierce
Property Tax ID #: 3402-610-0153-000-3
Site Plan Name:
Project Name:
Lot N0.8 and 28
Block No. 76
I, DETAILED DESCRIPTIONOF WORK ,
Remove existing roof system down to plywood, renal to code. Install titanium peel and stick undedayment with 26GA
5V Crimp metal roof system to code.
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric _ Plumbing —Sprinklers
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Total Sq. Ft of Construction:
Cost of Construction: $ 18,250.00
—Generator
Sq. Ft. of First Floor:
—Windows/Doors
Roof 4/12 Pitch
Utilities: _Sewer _Septic Building Height: I
OWNER%LESSEE`." ;'
CONTRACTOR. z
NameBarbara Gerren
Name: Jeffrey Hampson
Address:5710 Raintree Trail
Company:St Lucie Roofing
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772-359-5820
Address:1913 SW South Macedo Blvd
Ctty Port St Lucie State: FL
Zip Code: 34984 Fax.• 772-207-7354
Phone No772-344-7193
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailJeffH-SLR@GMAILCOM
State or County License CCC1330816
If value of construction is sZ5W 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
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DESIGNER/ENGINEER:
Not Applicable
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�
_
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.
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 1 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-residerrtial 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 I'NSPEC ION. IF YOU INIFEND TO OBiAIIN I I NAINCTNG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of owner/ Les or as Agent for Owner
Signature of Contractor older
STATE OF FLO
COUNTY OF RID n� L� Gr -L,
STATE OF FLORIDAS
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The forgoing instrument was acknowledged before me
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The fo oing instrument was acknowledge efore me
this day of YYl 20A by
this day of by
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Name of person malking statemerk.
Name of person makfingstatemen
Personally Known t/ OR Produced Identification
Personally Known ✓___�OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public -State of Florida )
(Signature of Notary Public -State of Florida
Commission No. (Seal)
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