HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr��,'
Date: 01/22/2020 Permit Number: 0 0�'`V Ll
Building Permit Application
Building and Development Services
Code Regulation Div cion pecm�tt�9 CaU mens
9St.
2300 Virginia Avenue,Fort Pierce FL 34.982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5505 Seagrape Drive., Fort Pierce FL
Legal Description: Indian River Estates-Unit-08-Blk 23 Lot 35(Map 34/11 N) (Or 872-1780)
Property Tax ID#- 3402-609-0048-000-0 Lot No.35
Site Plan Name: N/A Block No. 23
Project Name: N/A
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
-DETAILED DESCRIPTION OF WORK:
the deck to the current code and
the plywood deck. Re-nail
W will tear off the existing roof down to e
We 9 P Yw
install a high temp self adhesive underlayment. Then we will install a 5v metal roofing system.
CONSTRUCTION INFORMATION:
Additional work to be performed un er t is permit—check all appy:
In11
0HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator 21 Roof 2 Roof pitch
Total Sq. Ft of Construction: 16.66 Sq S . Ft.of First Floor: N/A
Cost of Construction:$ 7,500.00 Utilities:,n Sewer ElSeptic Building Height: N/A
OWNER/LESSEE: CONTRACTOR:
NameCarolyn And Donald Rhodes Name: Christopher Collins
Address:5505 Seagrape Drive Company: Collins Roofing Inc.
City: Fort Pierce State:FL Address: P.O.Box 12867
Zip Code: 34982 Fax: N/A City: Ft. Pierce State: FL
Phone No. N/A Zip Code: 34979 Fax: 772-489-6505
E-Mail: 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.
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SUPPLEMENTAL CONSTRUCTION'LIEN LAW INI,PRMATION.:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: VIP_Not Applicable
N am e:Carolyn And Donald Rhodes Name:
Address:5505 seagrape Drive.,Fort Pierce FL Address: 5505 seagrape Drive
City: Fort Pierce State: City: Ft.Pierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: P.O.Box 12867 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 str es,swimming pools,fences,walls,signs,screen rooms and acces ses to another non-residential use
WARN G TO failure to Record a Notice of Comm cement ma sult in your aying twice for
imp r veme s t ur prope .A Notice of Commenceme must be re rd d and poste on the jobsite
be re the it Ins esti . If y u intend to obtain financi , consult w le er or
tt ney before
c mmen o orr6cordi g your Notice of Commengbment.
Signature Owner/Lessee/Contractor as Agent for Owner C, E%rgn6t6Wof contr License Holder
STATE OF FLORIDA�(�p `` STATE OF FLORIDA I0� L
COUNTY OF l (�,�� COUNTY OF
The foing instrument was acknowledged before me The f r oing instru ent was acknowledg�Rjd before me
day ofl i� ,26M by . this day of 26AD by
NarAe of person
making statement Name bf persoaking statement
Personally Known >/ OR Produced Identification Personally Known ✓n ry�OR Produced Identification
Type of Identification Type of Identification
Produced Produced
plot, 0/v _a
(Signat e o N t P `� (Signature o a ub' -State of Florida)
N'v Y FRENCH
Notary P,�ub,,lic-State of Florida FRENCH
Commission No. �1� + Commission No. lk ,11`'"'^'""" N _( �
Com!hr M9GG ,672.511 ;, otary u I state of lot is
My Comm.Expires Dec 11,2021 r. h`•;•_ Commission#GG 16 1251:
Bonded throw h National Nola: Asre+ !: -
9 v My Comm.Expires Dec 11,2C:?1 a
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION L�1SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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