HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MIST 13E COM PLMD FOR APPLI CATI ON TO B E ACCEPTED
Date..
P n n in g and Deve lopmen t Servkes
Building ond Code Reg ulation Division
Permit Number,
Building Permit Application
2300 Virginia Avenue, Fart Pierce FL 34982
Mhne: i7721462-1553 Fax: Ii721 n67-7578 Cvmmercia r�
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION
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F
Ad dress: 108 Lobster Rd
Legal Description,. River Park Unitm9m!Dan 'A' Blik 73 Lot fi
Res idential X
Pro perty Tax I D #: 3419 -560-0006-F000 - 8 Lot Na. S
Site Plan Name: NIA Block No. 13
Project Name: N/A
Setbacks
Front N/A 9ack: N/A Right Side: NSA LeR Side: NIA
DETAILED DESCRIPTION OF WORK:
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we will tear off the existing roof down to the wood decking.. Nail the deck off to the current code., install
a self-adhesive bitumen roiled roofing tease. install all Eaves metal nailed off to code and primed with
roof primer,, install a selfwadhesi've granulated rolled bituman Roofing cap sheet.
CONSTRUCTION INFORMATION:
10 or
under t
F—]Gas Piping
I Isp
AOditlo na I work to be oe
IIHVAC Gas lank
Electric Ell Plumbing
Total Sq. Ft of Constru Ct ionr 29
Cost of Construction: $ 13,500+00
GWNER/LESSEE:
rinklers
apply:
Shutters
11 Generator
S Ft. of First Floor: NSA
utilitiesw Sewer L..j Septic Building Height: NIA
E-] Wind ow s/ Do r s
E4 R1111111111111111111����af 1/12
N a m e Rob e rt Edmondson &Geraldine WaUace
Address: 108 Lobster Rd
City: Pori Stint Lucie State: FL
Zip Code: 34983 Fax N/A
==MEMO
Phone No. NIA
E-Mai1: N/A
Fillin fee simple Title Holder on next page If different
from the Owner listed above]
CONTRACTOR.
Root pitch
Name: Christopher Collins
Company: Collins Roofing Inc.
Address: P.D. Box 12867
City: Ft. Pierce State: FL
zip Cede: 34979 Fax: 772489-6SO5
Phone Na. 772-201-1352
E-Mafl-m Collinsfoaflnginc(�gmail,com
State or County License: CCC.&058011
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required,
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
IDIFSsrjFft1FPJG NEER: Not Annlicable
N a m e Ro4er1 Edmaltlsal & Gerald ine Wallace
i Address11% Laes«r Rd
CILv: POR Saint Lucie State:
Zip: Phone
FEE SIMPLE TITLE HOLDER0
: Not Applicable
Name:
Address: P o- gox 12e67
citY4
zip: i
one
MORTGAGE COMPANY:
NNat Applicable
Name,0
Address: roa L-Obste r Rd
C*ty: FL Pierce State:
ZINp: Phone:
BONDING COMPANY
Not Applicable
Name: i
Address:
City:---
Zip: Phone:
-..
1i��� NT�T�i �4F�1�1lIT: �ppli��ti�n is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work orinsta flation has commenced prior to the issuance of a perm it.
S Z. Ltjc�e Co u n rr�ake s n� r�pr��er�ta��on that �s ���r�tin� �.,��rrnit �ril� �utF��riz� theTerms �holder t� b�if� �1�� �ub��rt�tr��tr�r�
hich is ire rani vvith an a li ble Home Or�vners,�ssoeiation rules bylaws or ar�covenants that may �estrict or prohibit such
structure, Please consult withyour Home Owners AS50CIatton and re�ri��r our 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 v�ith the approved plans, the Florida BulId"ng odes and #. Lucie County Amendments.
iThy followin�u��irrf����an� � fuIIo���rren��reriev; r���bt��
additions,
- s i dentin l use
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n your pa g nn+ice ror
impr amen your proper"W.A Notice of Commencemmust recorde and posted an he J'obs'te
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b re the t spectio If yo
mmen Prk orb dind
a ccessor� stru s, s�v"rn - S, 're
ences, �ralls� signs, screen rooms and acoto
WARNI TO EI:1�ou r ffailM to Re C Ord a N oti ce of Co cmen't y re ult i
intend to obtain flnanc-'. g,. cans
our Notice of Comma cement.!
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0610iiwatiOwn 01-Cess eeCon tr a ct o r as Agent fir 0 w n e r
STATE OF FLORIDAS10I j aei
�
COUNTY OF L
The for oing instr
this day- of _
ant w s ackn
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owledge�efore me
zOMMMIK b y
with r o r a nAttc5rrr-j-)ey before
Sign akuu>afCo- n t ra cto- �nse Holder
STATE OF FLORIDA
COUNTY OF
The f Wing instr
tihs(�day of OF=
ent was acknowledged before me
20 Z Vby
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Name of person eking statement Name of pers making sta ement
Personally Known dR Produced identification Personally Known OR Produced Identification
Type of Identificatpla hype of Identification
Produced BE11N6Ai]ARDEN Produced '"ru��� BELINDA DARDEN
.- � � r ��� _ Notary � i�c - Siale o[ Florida , : . ' _ N�rY Nbk-Slate of PpWa
CommJssion # GG 169025 t � Cmim'54iOt1 # C,G 169025
�i' My Comm. Expires IDec 78. 2021 � «i� My Comm. Expires Dec 18, 2o2j
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.., ,g�Iho�gh NaUonar Notary 71un " Pd„ • 9['nTed through Nalronar n�
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(Signature of Notary Public- State-ofFforida � (Signature of Notary Public- State of lore
Commission No,
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
(Seal)
Commission Na.
(Seal)
FRONT
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