Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 20 Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential Yes PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: _ ,' Address: &3014 I WAvl r P y Legal Description: �}��� /"J4p-K OA)rr LQT 10 Property Tax ID#: 1'3® 2 ©1 7`► coo Lot No.I_ Site Plan Name: N/a Block No. IVO Project Name: N/a Setbacks Front N/a Back: N/a Right Side: N/a Left Side: N/a DETAILED DESCRIPTION OF WORK: ' I; r . _. We will tear off the existing roofing down to the ply ood, Re-nail the deck to the current code and Re-roof. CONSTRUCTION INFORMATION: Additional work toe e orme under tispermit—checka appy: HVAC E]Gas Tank E:]Gas Piping _Shutters a Windows/Doors Electric 0 Plumbing Sprinklers E]Generator' Roof Total Sq. Ft of Construction: Z W S . Ft.of First Floor: N/a Cost of Construction:$ � �40 Utilities:Sewer ElSeptic Building Height: N/a OWNER/LESSEE: CONTRACTOR t ,"1 Name Name: Christopher Collins " Address``: 11�i4iL-MI)&E GO Company: Collins Roofing Inc /y City: 0 RTM PQ 27r7 State: N V Address: PO Box 12867 Zip Code: 11-7 0Fax:N/a City: Fort Pierce State:FL Phone No.N/a Zip Code: 34979 Fax: 772-489-6505 E-Mail:N/a Phone No. 772-201-1352 or 772940-8607 Fill in fee simple Title Holder on next page(if different E-Mail: Collinsroofinginc@gmail.com from the Owner listed above) State or County License: CCC-058011 If value of constructs is$2500 or more,a RECORDED Notice of Commencement is iequired. -SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: d_Not Applicable MORTGAGE COMPANY: d_Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Pho FEE SIMPLE TITLE HOLDER: d_Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: 44 gAJ City: Iv4 RT City: Zip: Ph ne: Zip: Phon 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 ma result in your paying twice for on improvements to your property.A Notice of Commencement mu a recnd posted on the jobsite before the first inspection. If you intend to obtain financing, c suit with der or orney r commencingwork or recordingour Notice of Commence nt. s Si nature of Ow''�/Lessee/A ent ign ontra' or is nse of er STATE OF FLORIDA // STATE OF FLORIDA COUNTY OF COUNTY OFj-f-- Z,-s e The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this�day of iG 'fC 20/Zby this day of �2/pT�J�.� 20 Z by I (Name of person acknowledging) (Name of pe�nowledging) i (Signature of N ublic-State of Florida) (Signature of t Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identi i ROBERTS Type of Identification Produced L L y�publlc sta of FloridagAssn.Commission _ slon 221708 Commission No ,yy��; ry Public- a e fs;'�9 Quo,: My Comm.Expires May 10,2019 a" " Commission#k FF 22„�������• My ftnim.Explies May 11 pF��P�`,Revised 07 ���"' BondedthrbughNationalNot REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS