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HomeMy WebLinkAboutUntitled ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �OTr`1 Permit Number: _110 �dH 5d Fela � �� Oft 18 2017 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: ogoo H8YInInn, \1 ti Legal Description: Property Tax I D#: �I-�2�J-~] d�P- ('�fL,1 ©'� Lot No.�_ Site Plan Name: N/a Block No. �! Project Name: N/a .Setbacks Front N/a Back: N/a Right Side: N/a Left Side: N/a DETAILED DESCRIPTION OF WORK: We will tear off the existing roofing down to the plywood, Re-nail the deck to the current code and Re-roof.Wl� A CONSTRUCTION INFORMATION: Additional work toe performed under this permit—check all fn appy: 0HVAC 0 Gas Tank ❑Gas Piping _Shutters a Windows/Doors Electric 0 Plumbing Sprinklers 12 Generator Roof Pty Total Sq. Ft of Construction: n d IJ Sq. Ft.of First Floor: N/a Cost of Construction:$ 1.1y - ' Utilities: Sewer 11 Septic Building Height: N/a OWNERAESSEE: CONTRACTOR: Name 1.It I I ovv\ ,l. h• Name: Christopher Collins Address:.'Noo fy�p y)r\ /�O� ��_V_� Cid` Company: Collins Roofing Inc City: ffiy-� �9\V\* State: Address: PO Box 12867 Zip Code: �JZ Fax: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 construction is$2500 or more,a RECORDED Notice of Commencement is required. 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: Phone: FEE SIMPLE TITLEHOLDER: d_Not Applicable BONDING COMPANY: V_Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 thepermit 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 • oom additions, accessory struc wimming ences,walls,signs,screen rooms andWacce uses to ano her non-re ential use WAR G TO OW our failure to Record a Notice of Commen may resul ' our payin twice.for imp vements to ur property.A otice of Commencement ust be record rid posted o the jobsite b ore the firs ection. If i tend to obtain financing onsult with I r or an alto before ommencin or recor ' ur Notice of Commence ent. s _Sign of Owner/Lessee/Agent _ Signat Contra cense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ,S-F COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this j�—' day of 4!:2>c7f-cz , 20 Eby this'day of C) 201,) by (Name of person acknowledging) (Name of persod acknowledging) (Signature of ota ubl�ic-State of Florida) (Signature of(aot§fy Public-State of Florida) Personally Known ^Y � Personally Known OR Produced Identification Type of Identification P,f�gla!XC CATHY J ROBERTS Type of Iden ifi ati n ro u d r °;. o Notary Public-State of Florida +++,, CI��II�Y J RCBERTS Commission No. �� °�n ,a K ommistial FF 221708 Commission o,'� `'g Public-S1 RI:lorida i+o` Ply Comm.Expires May 10,2018" e •a Commission;"FF 221708 4 Bonded throw h National Notar Assn. aN -myCoFnFn. a V Bonded through National Notary Assn. Revised 07/15/2014 °t °^ K REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS