HomeMy WebLinkAbout3807_Ave_P_Permit_App� u
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; Permit Number:
- . - __.L. J--1
Building Permit AppP
lication
Plo n nin g ar+d oe velop m en t Services
kr.ilrlinn nnr! rnrla Ri 40 01(3 tiO n 0IVlSjOf1
2300 Virginia Avenue., Fort Pierce FL 34982
Phone. (772) 462-1553 Fax' (772) 462-1578 Commerc'ial =Md&
PERMIT APPLICATION FOR: Roof
Residential X
PROPOS E D I M P R ID IENT LOCATION:
Address: 3807 Avenue P Fort Pierce, FL 34947
Le ga I D e sc r i pflo n: SU N LAN D GARDENS BALK 18 LET 3 AND W1/2 OF LET 4 (0,28 AC) (OR 1020-2464,0,1479-2903T
2445-841: 2692ml231)
Property Tax ID #ip 2405-,601-0327-000-2 !at No.
Site Plan Name: N/A Block No.
Project Name: NSA
Set bar, k:s Front NIA back: Nli4 Right Side,-. N/A Left Side: N/A
�-00r__-M*EqMr_
DETAILED DESCRIPTION OF WORK:
llWe wall tear off the existing roof down to the wood decking.
2. Renw4l the decking to the current code. Turn in Na'11ing affidavit.it.
inchittiman
r�ll a self arlh, secondary water resistant barn6ar base & flashinqs.
Schedule Dry In Insp.
4. Install a bitu an self adhesive secondary water resistant barriar roofing system. Schedule Final.
CONSTRUCTION INFORMATION*
iditional wo
IIHVAC
I .
Electric
rk tn be noerformed under this r ermit — check a
I - I GasTank
Total Sq.. Ft of Constr
Cost of Construction&
Plumbing
'F
uction, zuu or z tiq
. Er==1
OWNER/LESS:EE.
$ 2t225bOO
F Gas Piping
EISP
rinklers
apply,
Shutters
Generator
❑ Windows/Doors
1 4
Ioof
5 Ft. of First Flair: N/A
Utifities:SewerQSeptic Building Height: N/A
N a rn e Valar(e Williams
Addre45sm3807 Avenue P
City.. Fort Pierce State: FL
Zip Code: 34947 fax: NIA
Phone Na. NIA
E-Mail: NIA
Fill in fee simple, Title Holder on next page (if different
from the Owner fisted above)
CONTRACTOR.
Rooi pitch
Name; Christopher Collins
Company: Collins Roofing inc.
Address: Ps0_ Box 12867
city; Ft. P ieCCe StateF L
Zip Code: 34975 Fax: 772-489-P6505
Phone Na. 772=20.1m.1352
E.-Mail: C0I1insroofing1nc@g mail com
State or County License: CCC-058011
If value of construction is 5 or more, a RECORDED Notice ofCiDrnrnencement is required.
� S ■
14
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SUPPLEMENTAL CONSTRUC71ON LIEN LAW INFORMATION:T � �� �� �I
DESIGNER/ENGINEER.0rhlotApp�icable
N a me: Vakvie Willarns
Address: 3W7 Avenue P Fort P{erce, FL 34947
CILy: Fyn Pierce stateo'
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address: p.o. Box 12e67
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name,,
Address: 3&07 Avenue P
C I ty* FL Pierce State:
zip: Phone•
BONDING COMPANY:
Name:
Address:
City:
ZIP: _ Phone'
Not Applicable
OWNER/ CO-NTRACTOR AF F1 DVIT: 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 ermit will out orlize the ermit holder to build the subject structure
which Is in canflfct with any applicable Home Owners Assocratlon rules, by�aws pran covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed �r any restrlrtions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I wiH, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following bui ' ve 0 appfic ns re exempt from undergoing a full concurrency review: room additions,
accessory str ures, swim pools, fences, ,signs, screen rooms and acces UP I L&OC o onoPr res€dential use
WAR GTOO ER,: our failure to Recor a Notice of Comm ement esu Inyourpayin twicefor
imp vement oyour roperty. A Notice of ommenceme mustbe cordeda posted on e jobsfte
b ore the f' st in e ion. If ifinanci
ntend to twin ,consul ith lender o an attorney afore
mmend g reco e your Nobc of Commen mient,
r,�Rqr
STATE OF FLORIDA
COUNTY OF
The f ring Instru
this?.-r1day of _
was ackno
as Agent for Owner
I e d ge d before me
zoo by
f Nameof�prer n making statement
Personably Known Y OR Produced Identification
"hype of 1-dentifIcatlon
Produced E.J
�-EINUIIflARpEN
` �: • A y Public - SWt& of FlaAda
•,:��+a•. F,hnrrnssianIGG169025
..; � ,•: Mv"nfftm. E xOmi; Dee I8d 2021
&. LL
(Signature of Notary Public- State vf�lo
F 4 Seal
Commsssion No.
REVIEWS
PATE
RECEivrn
UATE
j C-n MPLETr i)
Rev. 8/2/17
ng"n3y�,pi�e6ntz6eQjy�Hodder
STATE OF FLORIDAr iol
I�
COUNTY OF
The for
this Ili
ing intr rrN ent was acknowledged before me
-6 --6FMWNE&0&
N a me of per,,,,nm
Personally Known
Type of Identifica tion
Produced &-& MEN& A
r�
a If1g statement
OR Produced Identification
" "11-P-If-
...BELINr)A bhl(DEN
`P Noi-ary Ribic Slott of Flolds
•' Cmvissim p GG 169025
1: Mv Comm FxDlres Dee A 2021
(Sign ature of Notarytu6twdl
StateWSPiPihrldN'1�'N�1"�'"'"'
Commission No+
(Seal)
FRONT
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� ZONINGS
PLANSV
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EGETATIEA
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COUNTER
REVIEW
REVIEWUPERVISOR
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REVI EWE
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