HomeMy WebLinkAboutBuilding Permit Application 6i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED. Q
Date: 01/27/2020 Permit Number: i--o—st
• RECEIVED
Building Permit Application
Planning and Development Services JAN Z 7 2020
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie Count Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Res
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION ( [
Address: 5623 Oleander Ave., Fort Pierce FL 34982
Legal Description: 9 36 40 N 1/2 OF SE 1/4 OF NE 1/4 OF NE 1/4-LESS W 264 FT AND LESS W 138.2 FT OF S 150 FT
Property Tax ID#: 3409-114-0001-000-1 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: a
We willl tear off a small flat roof area on the rear of the home, down to the plywood. We will renail to
the current code, install a sa bituman base sheet, install needed flashings and finish with a TA bituman
cap sheet.
CONSTRUCTION'INFORMATION:- �.
Additional work to e e orme under this permit—check a appy:
HVAC M Gas Tank Gas Piping _Shutters Windows/Doors
O
11 Electric El Plumbing Sprinklers ElGenerator R Roof 1/2/12 Roof pitch
Total Sq. Ft of Construction: 3 Sq S . Ft.of First Floor: N/A
Cost of Construction:$ 2000.00 Utilities:iSewer Septic Building Height: N/A
OWNERAESSEE: ;" CONTRACTOR:
Name Jane Turmail Name: Christopher Collins
Address:5623 Oleander Ave Company: Collins Hoofing 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Jane Turmail Name:
Address:5623 Oleander Ave.,Fort Pierce FL 34982 Address: 5623 Oleander Ave
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 followin ildin p l applic 'ons are exempt from undergoing a full current eview:room additions,
accesso tructures imming pools, ences,walls,signs,screen rooms accessory us o ano non-residential use
W ING T ER:Your failu a to Record a Notice of C mencemen ay esult in yo paying twice for
i roveme o our prop Y. A Notice of Commenc ent must eco r ed and pos ed on the jobsite
efore th s pecti f yo intend to obtain fin ting, cons hl der r an a orney before
comme or ordi your Notice of Com enceme
l of 0 essee/Contractor as Agent for Owner Sign fure Contra- or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFCOUNTY OF Sfi Z-t`f C_C r-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisday of �. 20 Abby this__day of �Gv,.nsa,�, ,2030 by
Name of person making statement Nanie of person making statement
Personally Known ✓OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
OV,JPm (� -1--k- PW, q "
(Signature f tary u ,l a e o
(Signature d° t lit-Statq�figrq��(ZTS :•1 u •., A JROBERTS
?! Notary Public,State of Florida ?°; �� Notary PublJ)'c-St to of Florida
Commission No �� e`,.` Commission k($��1b785 Commission No. "�' '`i Commi2w 316785
F yComm.Expires May 10,202] ,orrti4 My Comm.Expires May 10,2023
Bonded through National Notary Assn. Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17