HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1(� 'Z• 1q SCANNED Permit Number:
BY
r T-7-5 r t> P St. Lucie County R TX7PF
Building Permit Application OCT o 2 2019
Planning and Development Services I ST. Lucie CountyPermitting
Building and Code Regulation Division 9
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:REROOF
PROPOSED INIPROVEiVIENT LOCATION:
Address: 2805 BRANTLEY RD
Property Tax ID #: 2420-802-0048-000-6 Lot No.
Site Plan Name: MERRIWEATHER PARK Block No. 3
Project Name:
DETAILED DESCRIPITION QF WORKs .
REMOVE THE EXISTING SHINGLE ROOF SYSTEM AND REINSTALL 5V METAL ROOF SYSTEM
• CYe. Y. L4c
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers _ Generator
Total Sq. Ft of Construction: 2100 Q Sq. Ft. of First Floor: _
Cost of Construction: (�TO�� 5 �' Utilities: —Sewer —Septic
—Windows/Doors
Roof 9 11� Pitch
Building Height:
OWNER/LESSEE:
ES _ . ._ ..
.CONTRACTOR: -
Name Mercier J Jean Baptiste Carole Jean Baptiste
Name:DOUG LEMAN
Address: PO Box 162
Company: ORCHID ISLAND ROOFING
City: Fort Pierce, State: _
Zip Code: 34954 Fax:
Phone No.
Address:856 US HIGHWAY 1
City: VERO BEACH State: FL
Zip Code: 32960 Fax:
Phone No 772-643-5950
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail DOUG@OIROOFS.COM
State or County License CCC1329687
It vame or construcnon is 4Aniuu or more, a R[CUHUhU Notice at 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
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 YOUR NOTICE OF COMMENCEMENT."
Si o Contrac or/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLO IDA
STATE OF FLOII��IDA
COUNTY OF L�� act .ue�
COUNTY OF_t\)c�(�ta�uelz_.
The forgoing instr ent was acknowledge before me
The forgoing inst ment was ackn wledged before me
thig_day of�/j 20j by
thisA�dayof20� by
C7CY\\t
DOUGLEMAN
Name of person making statement. I
Name of person making statement.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
S
W
(Signature of Nota RA ate
aS ON # GG056546
(Signature of Not
ryp}R ;Stat�BRRIII WELLS
? MY COMMI
Commission No. `•'+' E%PIRESj mbar 20, 2020
•�� MY COMMISSION # GG056546
Commission No.
IRES Dew) 20, 2020
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