HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr --
Date: 2'24-2020 Permit Number:'®u2q
RECEIVED
Building Permit ApplicatiEFEB
Planning and Development Services 2 4 2020
Building and Code Regulation Division ie County, PeCmitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT TYPE:Re-Roof
PROPOSED IMPROVEMENT LOCATION
Address: 12067 S Indian River DrJensen Beach, FL 34957
Property Tax ID#: 4504-602-0008-000-3 Lot No.9
Site Plan Name: Block No.
Project Name: Hart Re-Roof
:DETAILED DESCRIPTION OF WORK:
FRS will tear off existing shingle roof,flat roof, and underlayments. FRS will re-nail plywood to code with 8d ring shank
nails. FRS will install Polyglass Elastoflex self-adhered SAV&SAP on flat roof areas. FRS will install Polyglass Polystick
MTS self-adhered underlayment on sloped roof. FRS will install 3x3 drip edge and 26 gauge mill finish 5v crimp metal.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windoows�/D�oors
_Electric _Plumbing _Sprinklers _Generator Roof )L Pitch
Total Sq. Ft of Construction: DoD Sq. Ft.of First Floor:
Cost of Construction:$ 21,500.00 Utilities: _Sewer X Septic Building Height: 10'
:,OWNER/LESSEE: CONTRACTOR:
Name :To- N I'I't IMT i J*ADkN Swof Name:David Capps
Address:12067 S Indian River Dr. Company:Florida Roofing Services
City: Jensen Beach State: t-L Address:8470 SE Dharlys St.
Zip Code: 34957 Fax: City: Hobe Sound State:FL
Phone No.954-214-9260 Zip Code: 33455 Fax: 772-545-0643
E-Mail:jhart@cpc-eng.com Phone No561-427-9286
Fill in fee simple Title Holder on next page(if different E-Mailflodda.roofing.services@gmail.com
from the Owner listed above) State or County License CCC1 328967
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN .LAW-INFORMATIO,N:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
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 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 structures,swimming pools,fences,.walls,signs,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER M AN ATTORNEY BEFORE RECORDING YO NOTICE OF COMMENCEMENT:'
Signet of Owner/Lessee/Contractor as Agent for Owner Signature of ContFactor/Liced&dHolcler
STATE OF FLORIDA �� STATE OF FLO IDA
COUNTY OF �I6-Ak in COUNTY OF �f172-T1 Al
The for ing instrum nt was acknowledged before mehis forte,ing' stru nt was ac owledged,before me
ta ay of (>� 20`�by thi `(. da of 20_ by
Name of person making statement. N e of p son making state nt.
Personally Known OR Produced Identification V/
Personally Known OR Produced Identification
Type of Iden 'fication r Type of Identif cation
Produced— �1�� 1 e Produced fL Q tr
(Signature of Notary Public-State of f Notary P b,�pe� 4e } RIEGELSBERGER
ti►A�% `+ MELISSAN� $ otary Puelic.State of Florida
(, �`a-9(o l37 ;,';�'( z MYCOMMISSION' 29B13ssi No. Comry�C o(� GG 132408
Commission No. �� �,�r ` EXPIRES:Jeno Ze;�� MYcom�h. pisAug.7,2021
,oRs;?a;' BonWhru.Nohry Undemom
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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