HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: y�a��\� SCANNED Permit Number:
BY
_. St. Lucie Count- RECEIVED
—]
- • - Building Permit Applicat on NOV 21 20A
Planning and Development Services ST. Lucie County, Permitting
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: RES I DENTIAL REROOF
!ROVEMENT LOCATION:
WAX MYRTLE TRAIL PALM CITY FL 34990
Property Tax ID #: 4436-601-0034-000-3
Site Plan Name:
Project Name: CARTA REROOF
DETAILED DESCRIPTION OF WORK:
RESIDENTIAL REROOF TILE TO TILE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Lot No.
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator ✓Roof G'A7 Pitch
Total Sq. Ft of Construction: 71
Cost of Construction: $ 61,000.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSTEPHEN & POLLY CARTA
Name:ARTHUR FRANK
Address:1410 NW WAX MYRTLE TRAIL
Company: ROOFING SYSTEMS OF FLORIDA, INC.
City: PALM CITY State: _
Zip Code: 34990 Fax:
Phone No.
Address:583 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:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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."
Sigma i e�of Contractor/License Holder
I.Signa ef Owner/'Lessee/Contractor as.Agu—t for'-0wner '
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF QIM 6ecxk
COUNTY OF a M :5=,k_
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this,EL day of004ely0C20_ft by
this ZA day of �P_MV?2! 201a by
2!ie Asorti, Orm—A—n.
(1l-):)N_kr
Name o p rson making statement.
Name of person making statement.
Personally Known OR Produced Identification V_'*�
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced ls�e
?8nature
Produced
o Nota Public- State of Florida)
gnature of Notary P lic- State of Florida)
sion No. N �-4's a),aidlaW
Commit 4n�l# GG185434
Commission No. � y;
Expires: Febuary 13, 21122
=Commission # GG185434
I Exoires:
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Rev.2///19