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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/17/2020 Permit Number: g cr)�? ' ©J Q FnFEB Ek,,;k',, Building Permit Applieati 2 0 2020 Planning and Development Services Building and Code Regulation Division Permitting D"pa r tment 2300 Virginia Avenue,Fort Pierce FL 34982 _t. L�) I✓C nt �L Phone: (772)462-1553 Fax: (772)462-1578 Commercial pClfiPt'S ��I Y, PERMIT APPLICATION FOR: Roof - PROPOSED IMPROVEIViENT L=OCATION ' Address: 113 NE Bracken Rd., PSL FL Legal Description: River Park Unit 9- Part C Blk 74 Lot 12 Property Tax ID#: 3419-570-0025-000-8 Lot No.12 Site Plan Name: N/A Block No. 74 Project Name: N/A Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A DETAILED DESCRIPTION OFyWORK X We will tear off the existing roof down to the plywood, nail the deck off to the current code,-install a high temp self adhesive underlayment and a 5V metal roofing system. 44 9' .CONST RUC TIONINFhORMAl'ION Additional work toe e orme under this permit—check a appy: [1HVAC 11 Gas Tank RGas Piping _Shutters ❑Windows/Doors aElectric ElPlumbing OSprinklers E Generator El Roof 2/12 Roof pitch Total Sq. Ft of Construction: 32.33 Sq. Ft.of First Floor: N/A Cost of Construction:$ 16,435.00 Utilities:O Sewer Rseptic Building Height: N/A Name Lisay Dietderich Name: Christopher Collins Address:113 NE Bracken Rd Company: Collins Roofing Inc. City: PSL State: FL Address: P.O. Box 12867 Zip Code: 34983 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. >SURPLEiVIENTA►L CONSTRUCTION LFIEN LAVV�INFORMATIO�IV ,-r, 3r 3 DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: LisaVDietderich Name: Address:113 NE Bracken Rd.,PSL FL Address: 113 NE Bracken Rd City: PSL State: City: FL Pierce State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: ItNot 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 bu' mit applications are exempt from undergoing a full concurrency review:room additions, accessory uctures,sperim fences,walls,signs,screen rooms an cessory use o a on-residential use WA ING TOO R:Your failu a to Record a Notice of Co enceme by re ult in your p ing twice for i rovemen o y r property.A Notice of Commence nt must a record and posted n the jobsite fore the rst s ection. If yo intend to obtain finan ng, cons t wit n er o attor ey before commen orsecordimt your Notice of Comm cement Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contra (cense Holder STATE OF FLORIDA 0` STATE OF FLORIDA I r. ,�, COUNTY OF 'Ur I a ' — COUNTY OF .� 4— C- The for oing instr nt was acknowledged before me The forgoing instrument was acknowledged before me this ay of 202 by this day of 20by vis On) (in'� ( ),h �L flt;w Name of perso aking statement Name of perso aking statement Personally Known OR Produced Identification Personally Known�OR Produced Identification Type of Identification Type of Identification Produced _ Produced (Signat o to ubl -S "" #Floridg9SEYFRENCH (Signatu o to ublic t ..',"',�0'orida�} CASEY FRE C Notary Public-Stale of Florida . 1 �. Nota Public-Slate of Flom, COmmi$sio No. �j� �Y,M c�m, Cyon#GG 167258 ]r_ ) Commission#GG 16725fS P,; y Ee'xpires Dec 11,2021 COmmissio O r lU�' Q Po3,; My oeal)xpires Dec 11,2G,, '� ��;,•' '• ';;;;i:•• Bonded through National NotaryAssn V Bonded lhrough National NolaryAssn -�\ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17