HomeMy WebLinkAboutBuilding permit appF/Le (/2,5-
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATloN TO BE ACCEPTED
Date: 6/05/202o Permit Number:
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Building Permit Application
Planning and Development Services
Building clnd code Regulation Division Commerc.lal
2300 Virgin.Ia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential yes
pERMiTAppLicATION FOR: Re-Roof
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Address: 7106 Pensecola Rd
Property Tax lD #:
Site Plan Name:
Project Name:
1301 -612-0144-000-7 Lot No.4,5
Block No.124
shingles to 5v metal fl 17022.1
30# underlayment
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit -check all that apply:
Mechanical Gas Tank Gas piping Shutters Windows/Doors Pond
Electric Plumbing _ Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: S
2800
14000.00
Sq. Ft. of First Floor:
5/12 pitch
Utilities: Sewer _ Septic Building Height:
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Name V-'Jdtkson Name: Roland Wi|ey
Address: 7106 Pensecola rd company: Shoreline Roofing LLC
city: Fort pierce State:Address: 1973 SW Glendale St
zip code: 34982 Fax:city: Port St Lucie state:FL
Phone No.Zip Code: 34987 Fax:
E-Mail:Phone No772-260-9565
Fill in fee simple "tle Holder on next page ( if different E.Maiishorelineroofing@yahoo.com
State or County License CCC1331170from the Owner listed above)
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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pplicableDESIGNER/EN GINEER: Not Applicable MORTGA
Name:Name:Address:
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Zip, Phone Zip: Phone:
FEE SIMPLE Tl TLE HOLDER:Not Applicable BONDING COMPANY: Not Applicable
N.Name.
Add.Address.
City:City:
Zip: Phone:Zip: Phone,
OWNER/ CONTRACTOR Aff lDVIT: Application is hereby made to obtain a permit to do the work and installa tion as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
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ln consideration of the granting of this requested permit,I do hereby agree thalnaccordancewiththeapprovedplans,theFloridaBuildingCodesandSt.Luclet I will, in all respects, perform the workCountyAmendments.
The following bul dlng permit app icatlons are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Rec:i;pffie#m:iEt:s:t:oi!s:t:engerfn:i#yrj.eoA:;,ord a Notice of CommenceoticeofCommencement#embeei:jrneEtweo{jkrsotrj#:8frcj
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Si8n`ature Of chiner/ Lessee/Conwactor as Agent for Owner Signature Of Contractor/LicebesHolder
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REVIEWS FRONT
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VEGETATloNINGT _
-SUP-ERVIS-OR
PLANS SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
Rev. 5/6/20