HomeMy WebLinkAboutBUILDING PERMIT APPLPICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNIOrmit Number: O J O
BY RECEIVED
St. Lucie County
0 4 2019"
�- Building Permit Application ,n9 Department
Planning and Development Services `< Woe County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: RESIDENTIAL REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 2603 NW JUNIPER CT. PALM CITY FL
Property Tax ID #: 4436-601-0036-000-7
Site Plan Name:
Project Name: MORGAN REROOF
I'DETAILED'DESCRIPTION OF WORK: C AAA All —Ll
REROOF
12
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: 749 '51!:' � Sq. Ft, of First Floor:
Cost of Construction: $ 63,200.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameFRANK MORGAN
Name:ARTHUR FRANK
Address:2603 NW JUNIPER CT
Company: ROOFING SYSTEMS OF FLORIDA, INC.
City: PALM CITY State: _
Zip Code: 34990 Fax:
Phone No.772-233-5078
Address:683 105TH AVE N SUITE 9
City: ROYAL PALM BEACH State: FL
Zip Code: 33411 Fax:
Phone N0561-795-5566
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailADMIN@MYROOFSYSTEM.COM
State or County LicenseCCCO29554
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.
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 TITLE HOLDER: _ 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YQCIR NOTICE OF COMMENCEMENT:'
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_Signature-ofOwnerl tyontrAi tQcaslagentfor Owners
Signature of Contracto�22r/License Holder
STATE OF FLORIp\M
STATE OF ORl pn
COUNTY OF
COUNTY OFa�M I n.tJt
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _N day of 20_01by
this�dayofm ,2019 by
n
Name of person making state nt.
Name of person making statement.
�
Personally Known OR Produced Identification
Personally Known . OR Produced Identification
Type of Identification
Type of Identification
Producedl 4
Producedr
of Notary blic- State oflorida)
ignature of Nota ublic- State of Florida��A�
rmmlisure
LaIchaw
siocia
n -AsComlffirNo. t#O 185434
Commission No. (Seal)
Expires: Febmq 13, 2022
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Rev. 2///19