HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIONT.O;BE ACCEPTED.
Date: 02106/2020.- Permit Number
ED
--FEB 6 2020
Building Permit Application
Planning and Development Services Perm i Ui n g De pc7 ,tm e nt
Buildingand'Code'ReguldtionDivision St. Lucie County, FL
2300 Virginia Avenue,Fort.Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT-APPLICATION FOR: Roof
Address:.153 NE,Prima Vista Blvd.., PSL FL
Legal Description: River-Park.7 Unit 5 Blk 43 Lot 25 (Map.34/28N)•(0r 314-857: 811-1903)
Property Tax ID#: 3419-540-0025-000-5Lot No. 25
Site Plan Name: N/A Block No. 43
Project:Name:'.
Setbacks `FronV N/A -Back:' N/A Right Side: N/A Left Side: N/A,
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We will tear off the exist_TA bitumen_roofing system down to.the plywood deck and renail to current .
code. Install a SA bitumen rolled roofing base sheet and all eaves metal. Prime the eaves metal and
install a SA Bitumen rolled roofing cap sheet. =
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itional work to be nerformed under this permit—cneCK all appy:
HVAC .. - Gas Tank- - .-F]Gas Piping.... _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 0 Generator 0"Roof 1/2/12 Roof pitch
Total Sq. Ft of Construction: 30 Sq S . Ft.of First Floor: N/A
Cost of Construction:$ 13,950.00 Utilities. Sewer Septic Building Height: N/A
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ESNsEE�Y
.a.lF .;t
NameAngela JonesName: Christopher Collins t
153 NE Prima Vista Blvd Collins Roofing Inc.Address: Company: 9-
City: Port Saint Lucie State: FL Address: P.O. Box 12867
Zip Code: 34983 Fax: N/A City; Ft. Pierce State: FL
Phone:No. N/A Zip Coder :34979 Fax: 77,2-489-6505
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_L AE N'I:AW INFORMATIQ,N
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Angela Jones Name:
Address:153 NE Prima Vista Blvd.,PSL FL Address: 153 NE Prima Vista Blvd
dty: Port Saint Lucie State: City: Ft Pierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: jrNot 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.
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 arid'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 imming pools,fences,walls,signs,screen rooms and ac es er non-residential use
WAR G TO OW�p1� :Your 'lure to Record a Notice of Co enceme ay result in y r paying.twice for
imp vement �y ur propert .A Notice of Commence nt-must re o ed and p sted on the jobsite
be ore the f st ' s ection. If y u intend to obtain fina ing, cons t I nder or an ttorney before
c mmen ' or or r rd' our Notice of Comm ncement
S" OwN
ebe'ssee/Contractor as'Agent for Owner " natuon ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA.
COUNTYOF �-�r�Q_ COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrgmept was acknowledged before me
this 6 day of C1b Vis o,,, , 2030 by this__6L day of -u 2(Q:j by
Name of erson mak" g statement Name_of person making statement
Personally Known OR Produced Identification Personally-Known AOR Produced Identification
Type of Identification Type of Identification
Produced Produced
` (Signature of t
(Signature o otary tell#r¢4261da tate of Florida ( g -. Y off.•
Commission N GG 316785 o CATHY J ROBERTS
Commission No. OFA°°. My Comm.Etgj�N Aay 10,-2023 Commission No. a� Notary Public-Stfgetftrida
through National,Notary Assn, 0o-_:' mission q G 316785
'•..,or60 My Comm.Expires May 10,2023
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