HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMRLETEO FOR APPLICATION Ta BE ACCEPTED
Date : Permit Number :
Building Permit Application
Planning a n d De v e i u pment Services
8uifdir� g and Code q, egulab"On Drvision
23pQ Virginia Avenue, Fort Pierce FL 3Q982 YES
Phone : { 77z ) 462- 1553 Fax : (772J� 46z - 1578 Commercial Residential
PERMIT APPLICATION FOR : Roof
PROPOSED
IMPROVEMENT LOCATION .
Address : 68fi7 Brcante Cir . , Port Saint Lucie FL
Legal Description . Oleander Pines Blk 2 Lot 10
-
Property", Tax ID # M 3415- 705 - 0141- C100 - 7 Lot No . 10
Site Plan Name : NIA Block No ., 2
Project Name : N/A
Setbacks Front N /A Back : N /A Right Side : N/A Left Side : N /A
DETAILED DESCRIPTION OF WORK :
deck off dt e 00k the
We will rear aTrT I Nto the current co e .
T - existing sh- tingle roof down too the wood dec -
Install a self adhesive high temp underlayment and with a 5V metal roofing system .
U
C S "lNfORMATION :
I III
- ON TR CTION
Add itio n a I work to be e Dunder tTiis permiII c heck a apply :
HVAC Gas Tank Gas Piping 6 Shutters ❑ Windows/ Doors
Electric Plumbing Sprinklers Generator 4 Rood 112 Roof Pitch
Total Sq . Ft of Construction , 38 SQ13$00 N / A
Ft . of First Floor
21�725 .OQUtifities : 5ewer NIACost of Construction : $ septic O
CONTRACTOR .
Lee & C3rna Rob,inwnName : ChAstopher Collins
Name
Address : 6857 Bronte CV, Company , Collins Roofing Inc .
City: Port Saint Lucie 5tate : F� Address : P . O . Box 12867
Zip Code: 34552 ''Fax* N/A City : Ft .. Pierce State : P L
Phone No . N/A Zip Code . 34979- Fax* 77Z-4g9-6505
E - M il . N/A Phone No . 772-201- 1352
:
Fill 'in fee simple ritle Holder on nextpage ififfedrent E - MaiL collinsrao�inginc@gmail .com
from the Owner listed abase ) State ar County License : CCC- D58D11
if value of construction is $250fl or more, a RECORDED Notice Df tommencemen! Is required .
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SUPPLEMENTAL CON RU ON LIEN L4W IN ,,FORNI",ATION :
DIESI G N E R
,/ ENGINEER: T Not Applicable MORTGAGE COMPANY :
I Not App -11 ' ca b 1 e
N a m e : Lee e, CAM aon.,�, da me :
AdAddress : CS _PW Sent LupE FL AddfE55 : � - +�rorne C r
City - Dc-IMP ................... ., sa�n ��� Sta te : C16 ry: r-L � State .
P Phone Z i p : Phone:
FEE SIM P LE TITLE H 0 LflE R • Not Applicable � BONDING COMPANY , Not Applicable
game : N ,,-i m le
Add ress : P o 9ax 128e7 Address .
y' : Ciry.
1�1 ZIPIL Phone : P16 r hone :
OWNE , f� COl�j�'�A['� Q � AFFIDVIT• A p p lica tio n is h e re by rrw ae tOobtiain a piermit to do the work and installation as indicated .
I per* `Y th ,-r ` no work or i nsta llation h as commenced prior to the issuance of a permit,
St. cie Cour , • �- _ � ; = � o repres entati,pn th a t is g ra ntin g a p e rm it wil ! a athv rix e thepe�'mit ho ld e r to b u i ld t h e s u bj ect st ru ctu re
wh ich i� � n [ or - t h a � Y t ,. :_ � As�oc3ble Home owners a U an ru le s , b y l aws or a nd cown a n ts that may restrict or p rohibit such
s; ru etu re . P le a se co n s u l t w i t h your P ^ tee Ow n e rs Associa tio n a n d re vi e w y o u r deed for a n y restri ctio n s wh i c h m a y a pply.
�vns� oeration of the granting of this requested permit, I dio hereby agree tha + rn„ i ' , i n all respects , perform the work
in accordance with the apgro�ed Plans., the Florida Building Codes and St. Lucie County Amendments .
The following building permit applications are exempt from undergoing a full concurrertty review : roam additions,
accessorytr
suctures, swimfences, o
ming pools, walls, signs, screen rooms and accessory uses to another non -residential use
WARNIr r failure to Record a Notice of Co mmFns
eM ay�sv i� i n y r paying twice for
i m p r � � r-gent your proaarty . A Notice of Commencementst be fded and p sted o n the jolibsite
bef 7e - � � �� irrspe � n . f you inten d to obt ain f inanc ing, u l i fende r a attorney before
C 0 mere : ., p k COT i nyo% ur Notice o f Co m m e nce ant .
5 ' a e o t ractor a s Agen t for Owner f antra License H- ol',der
STATE OF FLORIDA STATE OF FLORIDA
CO U N TY OF `�ZT{,UL'CI F�,r COUNTY
Th efnr�qing instrument was a � Mcnow � edg �hefore me The f g i n stru ant wa s a c kn owie dg be fore me
this �Tdayaf � 2011by this (�day of 20 4y
eel
Alf
Name of arson making statement Name of rson making statement
Personally Known DR Produced Identification Personally Known DR Produced Identification
Type :of Identification Type of Identifi Cation
r
Produ. Produced -MM%6 MW
J
( Signature of Notary P u b l � c � Sta e Florida ) RabekM- Hoy t5 ig n a t u re of tary P u blic- Stat Florida ]
PU Rehakah H oy
NOTARY
Commission Na � 57A7E Of FAO � missian Na NOTARY
or ` ri� GG2 1 (} STATE QF
Cgrr FL
CofT"21 17 G G 2
Ex pir 3
REVIE WS H FRONT ZONING SU P ERVISO R PLANS VEGETATION SEA TUATLE MANGROVE
COUNTER REVIEW REVIEW R EVI EW REVIEW REVIEW 'REVIEW
DATE
RrCFIVCD
DATE
COMPLETED
Rev . 8 / 2117
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