HomeMy WebLinkAboutBuilding Permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date,. 07/3112020
Permit (Number;
Building Permit Application
Planning on d Development Services
Building and Code Regulation Division
2300 Virginia Avenue., Fart Pierce FL 34982
Phone: (7721462-1553 Fax [7721462-1578
PERMIT APPLICATION FOR
R oof
Commercial
Residential X
PROPOSED IMPROVEMENT LOCATION.,
Address,. 124 SE SERENATA CT., PSL F-L
Legal Description%. DIVER PARK -UNIT 5 BLK 47 LET 13 (MAP 34128N) (DR 3589-1529)
J
a y
Property Tax id #: 3419-540-wQ150-000-0 Lot No. 13
Site Plan Name: WA131❑�k Na. 4�
Project dame: NIA
Setbacks Front N/A Back: NSA RightSide: N1i4 Left Side: NIA
DETAILED DESCRIPTION OF WORK.
i We will tear off the existing roof down to the woad deck,, Nail off t
Install a 2 part self adhesive rolled b-ituman roofing system.
CONSTRUCTION INFORMATION:
Additional work to
HVAC
11 Electr'lc
�e pertormea un
11 Gas Tank
1:1 Plumbing
Total I a. Ft of Construction
Cast of Con
er t
F7Ga
L.J Sprinklers
2400 Sq feet /24 Sq
s Piping
struction: $ Ilt250-00_000000000rop-lor— _Emqw�
OWNER/LESSEE:
N a m e G uy Edwards & And rea Edwards
Address.17322 Route 949 Sigel.
he wood deck to the current code.
appfy:
Shutters
Generator
1:1 W'Indows/Doors
11 4 [I Roof F112
S Ft. of First Floor: NIA
utilities.1IlLJSewer Septic Building Height: �!ALJ
Citya srgel State: PA
dip Cade: 158fi0 Fax: NIA
Phone No. NIA
E-Mail. N/A
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Roof pitch
CONTRACTORD
Name: Christopher Collins
Company: Collins Roofing Inc.
Address: P•0, Box 12867
CItFt. P''erce State: FLy*
Zip Cade: 34979 Fax: 772-489-6505
Phone No. 772-201-1352
E-Mail: c011insroofing'irnc@gmall6l.com
State or County Licenses. CCCw058011
If value of construction is $2.500 or more, a RECORDED Notice of Commencement is requaeo.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENG INE ER
V'Nat Applicable
N am e: Guy Eawwds & Andrea Edw&dS
Ad d reSS: 124 SE SERENATA CT., PSL FL
C1ty; Sigel State.
Zip: PhoneMENEM
i0
FEE SIM P TITLE HOLDER
� Name.
Add res s is- P.o. Box Izesr
City:
Zip: Phone:
Not Applicable
MORTGAGE COMP
ANY:
Not Applicable
r4ame.III
Ad d ress 17322 Route 849 Sigel.
CICjI: Ft. Pierce State:
Zip: ININ_ Phone: i
BONDING COMPANY -so
Not Applicable
name:
Address: MIN I
City:
Z,1,p: Phone:1
OW N E R/ CONTRACTO R AFFIDVIT: 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 Coun�y makes 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 Name owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that i will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County So.
the following building permit applications are exempt from undergofng a full con rency review: ro a d d i iorr5,
actessery str e�s,s mi antes, wa11s, signs, screen rpoms and essdry uses to anRth n-residential use
WARN G TO OW :Your failure Record a Notice of Comm Bement may res n our paying twice for
imp vements t property. A N lee of Commenceme must he recor an pasted anTe jobse
b re the firs nsp coon. If v�6' inte d to abtain financi .consult with er an atto for
m end r recap
our otice of Commen ment
fl atTe ner%-Mamftmmmawl- Less ee/Contractor as Agent for Owner natu►ei'i�Contractor/L3c
STATE OF FLORIDAYSTATE OF FLORI
COUNTY OF '� ��. COUNTY dF � cMENEM
The orgoing instru ant was acknowledged before me
this day J 20by
r if
Name of person making statement
Personally Known .Le::L. OR Produced Identification
Type of Identi c ti ' � - - - - .. -- - � -Mi..
Produced 1,114dI . 1 4. cl
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My Comm. Expires Q or, 10, 2021
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(Sign cure of fV FV Un c-
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Commission No.
REVIEWS
DATE
RECEIVED
DACE
COMPLETED
Rev., 8/2/'17
(Seal)
The�or
this 1-1
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'day of
MIN
older
4.
nt was acknowledged before me
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Nam of per so n in statement
Person -ally Known � OR Produced Identification
Type of Identification
Produced -am
" "••,� 81EUNDA [)ARDEN161 � Apiary 51a1a public _
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(signature of 1,10" W qTz
2021
Assn
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