HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr
Date: Permit Number. IQ p r'-� .os-ce F
SCANNED
BY
st. I, ie Co REc�°
Bul ing 1pelmit Application MkN 22 ion t
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Planning and Oevelopment5ervices epor`CVarX0e�
Building and Code Regulation Division ern'-oo o &kjade
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:re-roof -Metal - guest house
PROPOSED IMPROVEMENT.L'OGATtON " " "a " F,
Address: 5710 Raintree Trail Fort Pierce
Property Tax ID #: 3402-610-0153-000-3
Site Plan Name:
Project Name:
Remove existing roof
metal roof system to code.
Lot No.8 and 28
Block No. 76
down to plywood, re -nail to code. Install titanium peel and stick undedaymentwfth 26GA 5V Crimp
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: [.a I
Cost of Construction: $ 18,250-00
_Sprinklers
Generator
Sq. Ft. of First Floor:
-Windows/Doors
Roof 4/12 Pitch
Utilities: _Sewer _Septic Building Height: I
OV1/NER/LESSEE: " '' "
:CONTRACTOR r
Name Barbara Geren
Name:Jeffrey Hampson
Address•5710 Raintree Trail
Company:St Lucie Roofing Inc
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772-359-5820
Address:1913 SW South Macedo Blvd.
City: Port St Lucie State:_
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-MaildefiH-SLR@GMail.com
State or County LicenseCCC1330816
It value of construction is $2500 or more, a RECORDED Notice of Commencement B required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
LIEN LAW,INFORMATION
I
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.
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
TWICE FOR IINPROVEMENTS TO YOUR PROPERTY_ A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SIZE BEFORE TIE FIRST UdSPECTION. EF YOU INTEND TO OBTAIN FMA ICING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDDiG YOUR NOTICE OF COMMFNCFMFNr_n
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Signature of Owner/VWeYContrictor as Agent for Owner
Signature of ri r/License Holder
STATE OF FLORIDA
COUNTY :' 1_Lt
STATE OF FLORIDA �/ L LA
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OF n`I -Z.
COUNTY OF c G/
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this,,,10 dayof 20_1J by
this �� day of� 20Z b
Name of person makinif statement I
Name o person maki gstatement
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Personally Known _k�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)
Commission No. "°..I'! CoS NCE PROULX
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?+ State of Florida -Notary Publl
3y E Commissto
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DATE
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