HomeMy WebLinkAbout1454_Old_FFA_Rd_Permit_App:R- M
ALL APPLICABLE INFO MWT BE COMPLETED FOR APPLICATION TO BE ACCEPTED
date:
Permit Number,,a
uilding Permit A plicati
on
Planning and Development Services
Building and Code Regulation Division
2300 Wrginto Avenge, Fort P+lerte FL 34982
Phone: (772) 4624553 Fax,: (772) 462-1578 commercial 'F
Residentia
PERMIT APPLICATION FAR: Roof
PROPOSED IMPROVEMENT LOCATION:
X
Address: 1454 Old FFA Rd Fort Pierce, FL 34945
Legal Descr'mlpt-bion10. 3 35 39 FRO'M RUN5W COR NW 1IN89 DEG 57 MIN 03 SEC E 40 FT, TH N 02 DEG 02 MIN 43
- mmz_�
SEC W 40.5 F-T,, TH N 02 DEG 02 M I N 43 SEC W 215-59 FT TO POB , TH CONT N 02 DEG 02 M I N 43 S EC W 104 FTqECW104F7,
property Tax I D #: 2303-233- 00 10- 0 10 - 8
Site Plan Name: N1A
Prnwlpct Name: NIA
Setbacks
Front NSA Back: NIA
DETAILED DESCRIPTION OF WORK&
Right Side: NIA Left Side: N/A
I.We will tear off the existing roofing down to the wand decking
2,. Renal the decking to the current
I 1n1ztn11 � �p�t ar�hes�ve secondary water resistant Darriar and all f�ashM b ings
.1 Cx J�..11 KW V J 4. Install a arch"Itectural asphalt shingle roofing system
CONSTRUCTION INFORMATION•
ftibnal work to
OHVAC
11 Electric
�e pertormea un
I I Gas Yank
Plumbing
Total Sq. Ft of Construction
. �
er this permit - check a
n
. 1900 or 19 Sq
Cost of Constructlon: $ 81730,00
0W_NER/LEssEE:
jGas Piing
rinklers
0
code. Turn in Nailling affidavit.
. Schedule Final Ins
P
apply:
Shutters
Generator
Lot Na.
Black No.
schedule, Dry
in Insp.
❑Windows/Doors
1 4
Roof
5 . Ft. of First Floor; NIA
Utilities: Sewer F�j
5eptic bullaing Height: NIA
Name Dorothy J Buxton
Address 1454 Old FFA Rd
City: Fart Pierce State*. FL
zip bode: 3494 5 Fax: NIA
Phone Na. NIA
E-Mail: N/A
� FilljFn fee simple Title Haller an next page [ if different
from the Owner listed a bove)
CONTRA OR.
Name' Christopher C011ins
Roof pitch
Company: Collins Roofing inc.,
Address: Pi-O., Box 12867
Cityr Ft. Pierce State: FL
Zip Cade: 34979 Fix: 772489-6505
Phone No., 772-201-1352
E-Maik C0J1insreofinginc@gma_1Lcom
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
As
DESIGNER/ENGINEER: Not Applicable � MORTGAGE COMPANY: Nat Applicable
Name: doroft J ouxton
Address: 1454 Old FFA RdFort Pierce, FL 34945
Cft]l: Fort Pierce State&
Zip: Phone.-
FEE SIMPLE TITLE HOLDER. Not Applicable
P ame:
j Ad dress1b P.o. Box 12867
City.
Zip: Phone:
Name:
Address: 1454 Old FFA Rd
City: FL Plum State:
Zip: Phone.•
BONDING COMPANY0
:
roamer
Address:
City:
Zip: Phone:
Not Applicable
OWNER/ CONTAFFIDVITP Applicationis hereby made to obtain a permit to do the work and fnstallation as indicated.
9 certify that �� work or installation has commenced prior to the Issuance �f � perm't.
St. Lucie Coun�y makes no representation thatis granting a permit wi11 authorize the permit holder to build the subject structure
which is in conflict with anv agqaicable Home Ownfrs Association ru1PsE vlaws ar and covenants that may restrict or prohibit such
structure. Please consult with � u r HomeOwners Associationf �r�� r�i��� your deed for anV r�str�c�+�n� r�l��ch may apply.
in consideration of the granting of this requested per rn it, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building bodes and fit. Lucie County Amend ments.
The following building permit applications are exempt from undergoing a full concurcency rey're room additions,
accessory structu�sswia'XW i n g ponlsfncpewalls, signs, screen roams and aces uses t o an❑ er non-residential use
Suk in our payi twice for
imDr ements to ]fur oro ertv. A Notice df Commencemen ust hecorded an Wasted an eibbsite
WARNO OWN o rRecord a Notice of Commement m
be re the fi
'F
C mencini
ff-I T1, . - I
rs a
spectio if you intend t attain financlin , consul ith lender an attorney
orr i g your Not! e of Common ment. ae� / �
nd'r/ Lessee -
STATE OF FLORIDA
COUNTY OF _
Ci�a1
or as Agent for Owner
the Ong instru ent was acknowledged before me
thislayof + 2� by
F.
I Limp r k-..- 1111116 1 rre r r.0
'b--'
Name u4 person a ing statement
Personally Known OR Produced Identification
Type of identification -Am&- -.M jd=6 ANOL AML J� ANOL _dE&6
Pr d u ce d -LINbA DARDEN
16
5 t" � Not-piry Pubic - State of Florida
q'��•; Comml aslon 0 GG 1.6902 5
• r= My Comm. Expires Dec 18, 2021
(5ignature of Notary Pu
Commission N u;
(Seal)
SigNfGrb4go�e6ntractor7license Holder
STATE OF FLORIDA
COUNTY OF
The fo
this )
0 L ng in
ay of
as
afore
me t was acknowled ed before me
20byM - A
I led -
�- Naffs! o9persan making statement
Personally Known �` OR Produced Identification
"hype of Identification
Produced A .. 104 Pplim ��..,,......,.....
Signature of N ota ry Public
Commission No...
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REVIEW
REVIEW
REV EWTURTLE
PATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
0
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