HomeMy WebLinkAbout05020631
Owner's Name
KtJ Bt:((L -g Ii I A 5' GD W J f(
i 3 '3 I! P R I M A V r j T B í3 L V V,
Residential Roof Dry - In Affidavit
St Lucie County, Public Works Department
Code Compliance Division A
~~c e,.'
'1::'1 . ~
4A "~,, ·
, 'Ii OJ V
&1 Þ{/6 . 2IJ4>
· l..(¡C¡ flo f1'.
e C o,.~
01.11) .&
toY, At
Building Permit # OC}(~d - D\o ~ \
Owner's Address
Con tractor 60 S S (} 0 i\f s: -r« ù. ~ ., 0 N 1-
Contractor's Address 11-0 (ANN'! HeaTH 1?iJ1 tí~røtJ Kif, 'f~'lgL{
I certify that: The required Lapping and Fasteners of the underlayment
(roof felt); hot mop, if required and flashing have been installed in
accordance with Chapter 15 of the Florida Building Code and Chapter 9
of the Florida Building Code, Residential with approved revisions and
meet the requirements of the product approval.
I understand that by executing this Affidavit I hereby relieve 8t Lucie
County of any liability with respect to the installation of these materials.
OWNER/CONTRACTOR'S SIGNATURE
~~.
/' f~ '15
HOMEOWNER'S S GNATURE
STATE OF FLORIDA
COUNTY OF
ST ATE OF FLORIDA ~
COUNTY OF cST L ú el t::.
The foregoing instrument was acknowledged
before me this _ day of , 20_, by
, who is personally
known to me or who has produced
as identification.
The foregoing instrument was acknowledged
before me this ~ day of /i~R , 2CP..J., by
ð2eSél<Tj:J &- ¿¡:;':;'f;-otJ , who is personally
known to me or who has produced
oL-..J) L identificatio
../
Signature of Notary
Sign re of Notary ,
/o//)tZ¡/) A.J St-eJ/t / AJ
Commission No.
(Seal)
Commission No.
(Seal)
, !!I
Ilts
I hl,,-,
t
, II",
.~,
Type or Print Name of Notary
Type or Print Name of NOGrrY
Cml revised 1/17/2007
No Faxed Copies, Only Original Notarized Copy will be accepted.
@
Building Inspections
2300 Virginia Ave
Fort Pierce, FL 34982
Phone (772) 462-2165 or 462-2172
Fax (772) 462-6443
Ii~C~
c.;-/,,~
4PN OJ /:)
&, Þqó 200,
· l..(¡ Ilc
C/e C ¡,¡,o,.~
01.11) &
lJ" J::-(
TO:
Robert Glasgow Jr
433 E Prima Vista Blvd
Port St Lucie, fl 34983
FROM: Barbara Counsellor - Building Tech II
SUBJECf: Renewal of Roof Permit
DATE: 3/26/07
*****************************************************************
PLEASE NOTE:
Your roof permit 0502-0631 has expired. A letter needs to be
addressed to the building official, Ray Wazny, requesting a renewal
and for the inspections. Please read and sign the attached Residential
Roof Dry-In Affidavit. Please mail this back with the letter for the
renewal so we can resolve your expired permit.
THANK YOU FOR YOUR COOPERATION IN THIS MATTER.
If you have any questions, please call (772) 462-1553. ,
Thank you,
&,fr¡ ø Œti1?Ý/lO';
Qj
~
~
~
~
~
~
..:b
<A}
.þ
if'
¡;;
.ÄI
¡\}
4·
Ú1
n\
¡~ i
f\j
...
-
-
-
~
CII
[91
CII
~
131
ICI
RECEIVED
APR 0 3 2001
public Works
St. Lucie County, FL
}\ ~ (~\
~ ~ ~ ~
;;3 ~ ~ "\'
-\ <) ;:: ~
~ '- ~ ""-
rr, - ~ r--
~ ~..~ ('
(":) ~ ....... ~
,~ ~ ~ .....
- ~ ~
? :Þ ~
~ ~ ~\" ~
'"' "C F
~ M b" ~
~ ~ '~\
~ ~
~
~,: rn
~
~r.t. ~
.~' ,;
jJ ;D ':Þ
~, '~-:J , ~
'~ .~) ~
~'~,'J J.~ rn
"':'"i [' '" )'>.
t' .,~ (1"
t ;: ~."
-
-
...
-
-
b.
~~ #/ hi.., ~
~f(·~~(~~;.~
Outstanding Permits by Contractc
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772)
Name OFFUTT MARC
Contractor Number 21877
Date Printed: January 17, 2007
Permit #
0502-0631
Permit Type
Roof
Application Type Status
Over the Counter Perr Expired
'-113
o""'.uá
~ \)r'.{ ~ '" \\.ç ¡:.
\:y..\ lklc ,\ò~~T
u-,\-\<. Ý ·
\ . -... t\·~i v t-y¿-
~, \ ~¿ \ 1'-"
#-t 0 -
, \ ,f....) <' ~
~~~~ (' ~ ~/Q·
Address #
433
Street Name Units
PRIMA VISTA AF -t F
no~
I~·f·-f ·
3/~lò~
~tleto f2e,,(g, \-\-
~~ '--\'0 {1\c, l\
Aiff
f\c! V~ ~ \4e (' ee BLA. tif j /
")ì d-7/Ù-:+
fIlC1 ,-I pel
--10 +I /0
11.¡RBitlllttlII111&11;,"::;;,;·;;;;,jJI
.~.h~ð~~
Code Compliance Division Contractor Certification Data Ent~
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
http://stl u c ieco. g ov Ice
Building Inspections
2300 Virginia Ave
Fort Pierce, FL 34982
Phone (772) 462-2165 or 462-2172
Fax (772) 462-6443
TO: Robert Glasgow Jr
433 E Prima Vista Blvd
Port St Lucie, fl 34983
FROM: Barbara Counsellor - Building Tech II
SUBJECT: Renewal of Roof Permit
DATE: 3/26/07
*****************************************************************
PLEASE NOTE:
Your roof permit 0502-0631 has expired. A letter needs to be
addressed to the building official, Ray Wazny, requesting a renewal
and for the inspections. Please read and sign the attached Residential
Roof Dry-In Affidavit. Please mail this back with the letter for the
renewal so we can resolve your expired permit.
THANK YOU FOR YOUR COOPERATION IN THIS MATTER.
If you have any questions, please call (772) 462-1553.
Thank you,
& r/Y;¡ rz:¡ ilit-ný 1/01/
~$.:t ";'y~"r'<~, ",-r~',~~,-\;!,>~ 'i,,~':~~:' ~;: ,', ^'.' ::i <:~ :~~,¡k~:'~ <~~£:~:-.~,~1?t~
Residential Roof Dry - In Affidavit
St Lucie County, Public Works Department
Code Compliance Division
Building Permit # Ql:)C)d - D\o~ \
Owner's Name
Owner's Address
Contractor
Contractor's Address
I certify that: The required Lapping and Fasteners of the underlayment
(roof felt); hot mop, if required and flashing have been installed in
accordance with Chapter 15 of the Florida Building Code and Chapter 9
of the Florida Building Code, Residential with approved revisions and
meet the requirements of the product approval.
I understand that by executing this Affidavit I hereby relieve St Lucie
County of any liability with respect to the installation of these materials.
OWNER/CONTRACTOR'S SIGNATURE
HOMEOWNER'S SIGNATURE
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this _ day of , 20_, by
, who is personally
known to me or who has produced
as identification.
The foregoing instrument was acknowledged
before me this _ day of , 20_, by
, who is personal1y
known to me or who has produced
as identification.
Signature of Notary
Signature of Notary
TypeorPrintNameofNomry
Type or Print Nmne of Notary
Commission No.
(Seal)
Commission No.
(Seal)
No Faxed Copies, Only Original Notarized Copy will be accepted.
Cm] revised I I] 7/2007
~ .4~~~.~.
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
http://stl ucieco. gov / ce
INSPECTION CARD
Permit #: SLC- 0502-0631
Issued 02/08/2005
Job Location 433 PRIMA VISTA BLVD
Jurisdiction: St. Lucie County
Parcel: 3419-530-0273-000/7
Owner: Lina A Glasgow
Conf #: 1156
Type: Roof
Double Fee: No
City: PORT ST LUCIE
Lot: 2 Block: 42
Subdiv: River Park Unit 4
Flood: Elev:
Flood Map:
Project:
Job Description: REROOF FIBERGLASS SHINGLE- 5000SF- 4/12P & 3/12 P (CONTR NOT DOING FLAT ROOF)
Contractor
OFFUTT MARC
450 LANNY HEATH RD
BOSS CONSTRUCTION
UPTON, KY 42784
( ) -
Property Owner
Robert B Glasgow Jr
433 E Prima Vista Blvd
87q- Co I L¡ 0 ( ) -
Port St LLcie, FL 34983-8455
Property Owner
Lina A Glasgow
433 E Prima Vista Blvd
( ) -
Port St Lucie, FL 34983-8455
Setbacks Left:
Right
Front
Rear:
Inspection Notes:
SUB-PERMITS
Permit #
Status PT Cert #
DBA
Owner I Builder Job DescriDtion
INSPECTIONS - For Requests, Call: (772) 462-1261
Priority Date Sched. Res Description Inspector
Date InsD.
Permit # Code DescriDtion
0502-0631 136 Roof Dry-infTin Tab
0502-0631 999 Final Inspection 2
I Permit Nun110502-0631