HomeMy WebLinkAbout5613_Hickory_permit_app (1)ALL APPLICABLE I N FO MUST BE COM PLETE D FAR APPLICATION TO BE ACCEPTED
Date.
Pe It Number:
Building Permit Appl.1cationob
g a nd De %?ekppmen f Se rvp'ces
Building and Cade Regulation Division
L .
2300 Virg inso Avenue. Fora Pieme Ft 34 9$1
Phone, (772) 462-1553 Fax: (772) 46.2-1578 Commercial Residential
[PERMIT APPLICATION FOR: ROOf
P R 0 PO S E D: I M P ROVEM ENT LOCATION:
Address. 5613 Hickory DT Fort Pierce, PL 34982
regal Description,- INDIAN RIVER ESTATES44huNIT 08m BLIK 63 LOTS 21 AND 22 {MAP 34U 11 N) (OR 1668-12561 2829
28M)
Property Tax I D #: 3402-&609-0419-000-2 Lai Nom 21
Site Plan Name.% N)A Block No. 63
Project Name: NIA
Setbacks Front NIA Bask: NIA Right6de-SN/A Le€t Side:N/A
DETAILED DESCRIPTION OF WORK:
We will tear c
current code..
io finish it up.
f the existing asphalt shingle roof down to the wood decking and nail the decking off to
Instal! a high temp SA under-layment and all flashings. Installa 5V metal roofing system..
� LFOUIV:) I KULUIIro iNrunnnH i Iur�:
Jditlor)al wa
LJHVAC
11 E I e ctri"C
rk to
eerforme
Gas Tank
11 Plumbing
91
under this permit — check a
[:]G a s Piping
Total Sq- Ft of Construction: 2500 125 Sq
Cast of Construct'iom S 13,280,00
OWNER/LESSEE.
Name Deborah A McGee
Address:5613 Hickory Drive
Sp rt n klers
apply:
u Shuttem
Generator
❑Windows, '" _ __
Roof
S fit. of First Floor: NSA
UtOffiffies:�5ewer L� Se{�tf[ Building Height: N/A
City: Fort Pierce State• FIL
Zip Code: 34982 Fax N/A
Phony No. NSA
E-Mail: NIA
Fill in fee simple Title Holder on next Page if different
from the owner listed above)
If value of construction is $2500 or more, a RECORDED N
CONTRACTOR:
Roof r1tCh
Name: Chri stopher Collins
ComPany: Collins Rc�ofing Inc.
Address: P.0- Box 12867
City: Ft. Pierce State: F L
Zip Cade; 34979 Fax: 772 48 9 - 65 05
phone No. 772,,1,201m1352
E-Mail. co1Iinsroofing1nc@gmaj'1.com
State or County License: CCC-058011
otice o f Co m m e ncerneim# h requined.
Scanned by TapScanner
)WNER/ CONTRACTOR AFFIDVIT4 Agphication is hereby made to obtain a permit to do the work and installation as indicated
i cert ify that no work ar installation has commenced prior to the issuance of a permit.
�L-, Lucie.,Count rn�akes no representation tha[is granting a permit will authorize the er�11t hold��er to buiId the subject structure
rr��,icF� is re conict with any applicable Home Owners Association rules, bylaws or an�covenants that may restrict or prohibit such
r u ctu re. Please ���u�t wit h you r H arne Owners �#5sociatior� and re�rconsult your deed for any restfictlDns which may apply.
'6
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 fit. Lurie County Amendments.
The following buildin permit applications are exempt from undergoing i fult cons uerrt review: room additions,
accessory stru res, s mmin{�paol fences, walls, signs, screen rooms and ory use to m h%nrt-residentlal use
WARNI TO 0 JY R-1 Your fall�jre to Record a Notice of Commencement may esult I n payIng twice For
impr ements yo rproperty ANotice of Conrimencem t must be r o ded and po
bef re the fir ins eionctyff y intend to obtain finance g, consult 0 n or
c mend Wfi"- 0'r'r _r-of your Notice of Comme ement.
W
"see/ContractD►as Agent for Owner
STATE OF FLORIDA
COUNTY OF [.•fir(I �
The f oing instr e was acknowledged before me
B
this of 20by
it I I
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature
Rev. 8/2/17
OR INDA DAR DLN
P Pub4c - Stale of Florida
61"J*ef RothM41
Itwouo *!um' Ne,!.yry +Ism
Sign *4Fth, 'of Contra
STATE OF FLORIDA
COUNTY OF
fed an the job sl"te
torney before
cense Holder
The
o11 -
Ing Mf15tf
e� was aC�i�'Io����
����F� me
this
7- day of
by
( it. /�Jo d
Name of pgrs�pn making statement
PersonaJly Known �r DR Produced ldentif�ation
Type of I d e n ti f i cat -ion
Produced
Scanned by TapScanner