HomeMy WebLinkAboutBuilding permit app0
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEP7Ep
Date:
01
Permit Number:
Building Permit Application
Planrrrrrg a n d Development Servrres
Building and Code Regulation Dvis+on
2,300 Vrrginia Avenue, Fort Pierce FL 34982
Phone:(772j462-1553 Fax:{772}452-1578
PERMIT APPLICATION FOR:
Commercial
PROPOSED IMPROVEMENT LOCATION:
Address: 241 NE Jardain Rd-, PSL FL
Legal Description-, River Park 9 Part B BIk74 Lot13
Residential X
Property Tax ,ID #i: X419-565-4031-Q00-7fat1N
0 13
Siie Plan Name: N /A 74
BI k No.
Project Name: _N/A
Setbacks Front NIABack:N/ALeftRight 511e.
Side -
' N/A
DETAILED DESCRIPTION OF WORK*
We dawn off existing roof to the wood Nail the dr�ck J off irr thcd, current code.
Install a self adhesive HT underlayment to the main roof and a self adhesfve base sheet flnthe flat
roof area. We will finish the roof with a zb Ga bv metal roofing system on the main house along vvikfi a
white granular self adhesive cap sheet on the flat roof area.
I C rl SiT R -1 10r% 11,11FOR AV
0 N
3ditional work to
HVAC
-Electric
e peffibrme
Gas Tank
Q
PlumbingSprinklers Generator 1L+ Roo
u, n d er t is pch-eck-iii -h4 appTy:
[:]Gas Piping
I I Shutters
1:1 Windows/Dolt
L
Total Sq.. Ft of Construction.2600 and 600-
Cost of Construction. 16000 QO
QWNER/LE55EE:
- f
WA
S Ft* of First Poor., N/A
Utilities:SewerCL] 5epticBuifciingF-feight:N!A
Name Susan J Hamby
Address. 241 NE Jardain Rd,.
city. Port Saint LucieState:FL
Zip Code: X4983Fax: N/A
Phone No. N/A
E -Mail., N/A
Fill in fee, simple Holder on next page. (if different
from the owner listed above
CONTRACTOR,
N, Christopher Collins
Cornpany� Collins Roofing Inc.
Address-. P.O. Box 12867
City: Ft., Pierce State,, FL
ZipCade: Fax. 172-489-6505
34979
Rhone No. 772-201-1352
E -Mail. collinsroofinginc@gmail.com
State ar County License: CCC -05801
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required,
Scanned by TapScanner
SUPPLEMENTAL CONSTRUCTION L,1E IN LAW 1NFORMATION
QESIGNER/EIVGINEER; � 1-%W% Applicable
Name: Susan 3 Kamt�y
Address: 241 NE.]ardafn Rd., PSL FL,
C tjl: ParlSaint Lucie State:
z ip: Phone
FEE SIMPLE TITLE HOLDER:
Name-,
Address: P.o. s= 12867
Gty:
Zip. Phone:
Not Applicable
it
MORTGAGE COMPANY:
IL
Not Applicable
Name:
Ad dress: 241 N EJaa�n Rd.
C " t Y�. FL Niefce Stat:
Zip: Phoned,•
- 0 [M , 0 &
I I.T141 " a -
Not Applicable
Name:—
Address:
�
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDIVIT:Appl'I'cation is hereby made to obtain a permit to do the work and installation as indicated.
certify -that no work or installation has commented prior to the issuance,of a permit.
St.. Luci*rCoun tymakes 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 considerazfan of the granting of this requested permit, 1 do hereby agree that I w+U, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St.. Lucie County Ame n dments.
The following bu"Ellrt applications are exempt from undergoing a full concu view: room additions,
accessory aures, swim in nces, walls, sign ti, screen rooms and essory uses t another -Itt:P-I ial use
WA 4NG TO OW Yaur failur to Record a Motice of Ca en�ement may res fn your paying tvrice _far
i
rcwements ""
you property,, A otice of Commence
e�fore the f i in p
com en
7 _t7m _ moi I �_* i
Le
STATE OF FLORIDA
COUNTY OF S'i—
The f
this,
nIt must be r
ena ro omialn Tinanc
11 FI r N otice of Co m m e i
ZContrac-Lor ED -s Agent, for Owner
ing instrument was acknowledged,before me
LAI&wZprM
Name 0-f person making statement
F Ersc niall1v KF own OR Produced IdentificaLion,
Type of identiff- ati-on
Produced
{Signature of Notary Public- Stale of Flo
Commission No,
Pr
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/21/17
STATE OF FLORIDA
COUNTY OF Sf-
jog instru
day of 1
DO I im_ rMte all 1
or an atto
yne,
10
ment ® !r '
knowled', - d b efore me
r
- r• ii statement -
y Known 11�:' rod u ce d] d e n ��ill: I tl c a t I o n
"m
Type of Identification
LAr �L.�
Produced
Rebekah Ffoy
V Mir
4F 0 Y
i
4 ru;--
R
-.e
J.- L
f N
't?
'�.. 0 0 GG2,S11'.jWg •
Expi res 2j 17.1023(Seal) Co M M i SS to n N I o,
Rebeka
NOTARY PUEkJC
0 ..FF
1�-�-.aj-LATE OF FLORID
i0 Ijr
L#-0% Corr" G G2W 10
4i*0
i P res 21 i 7/202
Ex
(Sea 1)
FRONT
ZONING
SUPERVISOR
VEGETATIO
15 TURTLE
MANGROVE
COUNTER
REYIEW
REVEW
REVIEW
I REVIEW
EVEW
REVEW
Scanned by apScanner