HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �J Permit Number:
RECEIVED
MAM!
Building Permit Applicati n MAR 0 6 2018
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 Yes
PERMIT APPLICATION FOR: Roof — S�' El
j PROPOSED IMPROVEMENT LOCATION:
Address: 479 Pelican Shoal Place.,Fort Pierce FL 34982
Legal Description: Tropical Isles G-23
Property Tax ID##: 3410-508-0176-000-1 Lot No.N/A
Site Plan Name: N/A Block No. N/A
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 of the existing roofing down to the wood deck and install a secondary water resistint
barriar as underlayment ad re roof with new diminsional ashault shingles.
CONSTRUCTION INFORMATION:
Additional work to b rformed under this permit—check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof 12 Roof pitch
Total Sq. Ft of Construction: 1400 or 14 Sq Sq. Ft.of First Floor: N/A
Cost of Construction: $ 6,857.00 Utilities:Sewer Septic Building Height: N/A
OWNER/LESSEE: CONTRACTOR:
NameMike 8 Nancy Resca Name: Christopher Collins
Address:479 Pelican Shoal Place Company: Collins Roofing Inc.
City: Fort Pierce State:FL Address: P.O. Box 12867
Zip Code: 34982 Fax:N/A City: Fort Pierce State:FL
Phone No.N/A Zip Code: 34979 Fax: 772-489-6505
E-Mai1:N/A Phone No. 772-201-1352
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: — Not Ap I, MORTGAGE COMPANY: _Not Applicable;,
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: ;y,_ Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appli BONDING COMPANY: Not Applicably,..._
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 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 followi uildin i app is ions are exempt from undergoing a full concur review:room additions,
accesso structur ,s imming pools fences,walls,signs,screen rooms and a ssory use t on-residential use
W NING T OW ER:Your fail re to Record a Notice of Com ncement esult in you paying twice for
i provem nts our propert .A Notice of Commencem t must b ded a o ed on the jobsite
efore th fi spec " If y u intend to obtain financi g, consu i nd or a orney before
comme ci r rec di our Notice of Comme ement.
Signature of Owner/Lessee/contractor as Agent for Owner nature of Contr or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF ioriJq COUNTY OF Flor4o,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of Md rt,k ,2019 by this (o{'` day of MG rLL 201% by
CIn�S� �p�2r R_ cjkior\S C�hris-0P�tr R. C in.s
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identificalio n
Produced FlorkZg DrNers Liumf Produced Floe at _0&. e PfIy0S I/."'
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(Signature of Notary Public-State ssf (Signature of Notary Public-State oTFlodd�1rch 26,2020 ;
n Marcmm.Expires t N n r N; No.FF 976229
Commission No. FF q 7 ,22.9 N ;(�°� k98s2�2s0 Commission No. )=� Tv-z-Z°� ��{S I) G• ;OQ
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REVIEWS FRONT ZONINGERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17