HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,,rr��
Date: 03/17/2020 Permit Number. ` ci . - qs
RECEIVED
Building Permit Application MAR I� 2020
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Yes
PERMIT APPLICATION FOR: Roof
Address: 5701 Hickory Dr., Fort Pierce FL 34982
Legal Description: Indian River Estates Unit-08 Blk 63 Lot 23
Property Tax ID #: 3402-609-0421-000-9 Lot No.23
Site Plan Name: N/A Block No. 63
Project Name: N/A
Setbacks Front N/A Back: N/A
Right Side: N/A Left Side: N/A
We will tear off the existing shingle roof down to the wood decking. Nail the decking off to the current
code and install a high temp self adhesive underlayment. Last we will install a 5-v metal roof screwed
off to the in accordance to the fbc.
Haaitionai worK to De errormea unaer finis permit— cnecK a
[1HVAC L Gas Tank ❑Gas Piping
11 Electric 0 Plumbing Sprinklers
apply:
Shutters Q Windows/Doors
Generator E]Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2633 SgFt or 26.33 Sq S . Ft. of First Floor: N/A
Cost of Construction: $ 13,150.00 Utilities:]Sewer Septic Building Height: N/A
OWNWLESSEE
ra.
f 4 � t a v.: <' ,r?
aG ;
Name Rodger D DeWitt
Name: Christopher Collins
Address:5701 Hickory 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. NSA
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
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
a
CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: Rodger D Dewitt
Name:
Address: 5701 Hickory Dr., Fort Pierce FL 34982
Address: 5701 Hickory Drive
City: Fort Pierce
State:
City: FL Pierce
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:IENot
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 1 will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following build'ng permit ap are exempt from undergoing a full con enc eview: ro dditions,
accessory str ures, imm' pools, fenc s, walls, signs, screen rooms and cessory use another non-r 'dential use
WARN G TO OWry
Your failure o Record a Notice of Com ncement y esult in your payin twice for
impr ements toroperty. A otce of Commencers t must be or ed and posted on- a jobsite
bef a the firs n. Iou i tend to obtain financi g, consult le der or arney efore
co mencin r irnw ur Notice of Commen ement. /I
wn s ontractor as Agent for Owner
S' n u f Contra icense Holder
STATE OF FLORIDA �np
COUNTY OF Oy�l`' LU-fie t-
STATE OF FLORIDA
C� ~c—
COUNTY OF j
The forgoing instrument was acknowledged before me
The forgoing instrur> nt was ac nowledgeedd before me
this day of / ntA 1aJ-- . -207_0 by
�
this day of A QJZ, 20W b
Name o person aking statement
Name of person ing statement
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signat N t P c- State",;tSitiF� rid9�tary Public — State of Florida
Commission # GG 167258
Signat e o No tic- St e''. 9dat�tary Public— Stale of Floddr�
• Commission # GG 167258
r o mm. Expires Dec 11, 202
Commission N :' ,,,,,,+�,�`��
• Bonded through Natonal NolaryAssn.
�; ,�111 a �Y= C m. Expires Dec 11, 202
ommission No. s;�.= (�' hrough 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