HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date:T Permit Number:
IVEDBuilding Permit Applicati n 208Planning and Development ServicesBuilding and Code Regulation Division Ly, Perrin, lfi
2300 Virginia Avenue, Fort Pierce FL 34982 /
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _ C
PERMIT APPLICATION FOR: Roof -
PROPOSED IMPROVEMENT LOCATION:
Address: 217 River Walk Fort Pierce
Legal Description. RIVERWALK AT SANDS UNIT 9(OR 3217-605)
Property Tax ID#: 1425-566-0009-000-0 Lot No.
Site Plan Name: Block No.
Project Name: C&M—k
Setbacks Front Back: Right Side: Left Side:
LDETAILED DESCRIPTION OF WORK:
Remove existing roof material, renail deck to code. Install self adhred underlayment and new shingles
CONSTRUCTION INFORMATION:
Additional work toe oerformed under this permit–check a appy:
HVAC 0 Gas Tank Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof IBJ Roof pitch
Total Sq. Ft of Construction: ��C0 S . Ft. of First Floor: I
Cost of Construction:$ �� '7 5 Utilities: Sewer E]Septic Building Height: _
OWNER/LESSEE CONTRACTOR:
NameArthur Browne Name: Douglas E Roe
Address:217 River WALK#9 Company: Code Red Roofers Inc
City: Ft Pierce State: FL Address: 3341 SE Slater St
Zip Code: 34949 Fax: City: Stuart State-FL
Phone No.772-460-6256 Zip Code: 34997 Fax: 772-287-7763
E-Mail: Phone No. 772-287-2829
Fill in fee simple Title Holder on next page( if different E-Mail: becky@coderedroofers.com
from the Owner listed above) State or County License: CCC1326574
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Sign ture of Contract r/License Holder
STATE OF FLORID�/ STATE OF FLOMok*vq
COUNTY OF N[QJ�{(1� COUNTY OF�
The for oing instrum nt was acknowledged before me The for oing instrum nt was acknowledged before me
this�day of 20zby this day of 20 6y
araar�
t�hme of person making statement N me of p(rso_n making statement
Personally Known OR Produced Identification� Personally nown OR Produced Identification
Type of Identifi °� Type of Identification
Produced PcatiD'k • Produced
4- �40'x X__t � - r) P -P-,e
(Signatur of Notary Public-State
��of I i a (Signatu of Notary Public-State f i a)
Commission No. �(C7(a( f�
J (Seal) Commission No. Q13 (Seal)
GvccA
ESTIFO .00,N REBECCA RESTIF
REVIE YCOMMISSION 4GG91 E G091863
S.Ma) V00h SUPERVISOR PLANS VEGETIM"
PYE17' OMA !GROVE
REVIEW REVIEW REVIEW R I IEW
DATE -- - - ---- - --
RECEIVED
DATE
COMPLETED
Rev.8/2/17