HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SN!N.SCANNED Permit Number: \d%a
r ., . BY RECEIVED
St. Lucie County MAY 2 2 pp)g
Building Permit Application
Planning and Development Services ST. Lucie gedry=e frr
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential —
PERMIT APPLICATION FOR: Roof S�'�„�a \ p z\. v ,,t Nk _ V's �r . III
Address:
Legal Description:
1'.P 7} cli a r, Al o
PropertyTaxlD#: )L43(--70R- oa$b- Do0-
Site Plan Name:
Project Name: ,Q Q rzA-�eUU�
Setbacks Front Back: Right Side: Left Side:
F1-1LF
Lot No. g
Block No.
Complete removal of existing material down to deck, renail to code, instal new 30# underlayment and
shingle roof e- l C,,c-e- �F \ok;� ,C ob f ,
❑HVAC 1-1 Gas Tank Gas Piping UShutters
11 Electric 0 Plumbing �Sprinl
Total Sq. Ft of Construction: LA 3 J
Cost of Construction: $ e
O
Generator
S Ft. of First Floor: _
Utilities: Sewer E]Septic
❑ Windows/Doors21 y\ �S S
Roof ✓ja Roof pitch
cl, S y
Building Height:
kplUEfjt> sEE�#' inx —
C. iYICfO 4,"y
s#4' i4"e x6tm^ ri�.i a
Name e,k, 1 rn Uu
Name: Dnualss F. Rna
Address: 9 90 S" me c, 0 4v-t-
Company: Code Red Roofers
City: 'Fors- Ili 2rtti State: rc-
Zip Code: 3 i 9 L0- Fax:
Phone No.
Address: 3341 SE Slater St.
City: Stuart State: FL
Zip Code: 34997 Fax: 772-287-7763
Phone No. 772-287-2829
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: iohn@coderedroofers.com
State or County License: CCC1326574
If value of construction is $2500 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 twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
/ Lessee/11britractor as Agent for Owner
Signature of Contractor/License Holder
ATE OF FLORI
STATE OF FLORIDA
COUNTY OF LV f tie
COUNTY OF At
The orgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this II day of Al tb 20 ? by
this a I day of _ & v 201 i by
�;Jk tt 1, L "_
VOUalej A!50-
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification A
Personally Known G'r OR Produced Identification
Type of Identificatigp,
Type of Identification
Produced
Produced
(Signature Public- State of Florida )
y-� Public- State of Florida )
(SigA;MonNo.
//w�ry
Commi sion No. 0&J )6044'7 (Seal)
Com16").&0(¢%7 Seal
JOFN JSAVARESE
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EXPIRES: Se
ember 20, 2022
"Ford EXPIRES: Si
Ptember20,2022
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Rev.8/2/17