HomeMy WebLinkAboutRe Roof application - 2816 s 28th street - KirklandAIIAPPLICABIE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application-c, - -- -rr-- 7
Ptanning and Development Seruices /
Building ond code Regutation Division Commercial
-
Residential :,/
2i00 Virginia Avenue, Fort Pierce FL 34982
Phone; (7721462-1553 Fax: (7721 462-L578
PERMITAPPLICATI0N FoR: Re ROOf
PROPOSED I MPROVEM ENT LOCATION:
Address: 2816 S 28th ST Fort Pierce, 34981
Property Tax lD #:2420-802-0081-000.9 Lot No. 11
Site Plan Name:Block No. 4
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION I N FORMATION :
Additional work to be performed under this permit - check all that apply:
*Mechanical _ Gas Tank _ Gas Piping
_ Sprinklers
Shutters Windows/Doors _ Pond
Pitch
/Generator € Roof_ Electric _ Plumbing
Sq. Ft.Total Sq. Ft of Construction' 1756 of First Floor:
Cost of Construction: $ 11,450 Utilities:Sewer _ Septic Building Height:
lf value of construction b 25fi, or mole, a RECORDED Notice of Commencement is required.
lf value of HAVC is $Z,SOO or more, a RECORDED Notice of Commencement ls required.
Remove shingle roof
lnstall Peel &Stickunderlayment - @
tnstail shingtes - FL IB3SS
OWNER/LESSEE:CONTRACTOR:
Name Joan J Kirkland
Address =2816
S 28th ST
City: Fort Pierce State:
ZipCoder .34q8"]Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name; Roland Wiley
Corn pany: Shoreline Roofing
Address:1973 SW Glendale St
City: Polt St Lu.cie State' Flt .
ZiPCode: 3.!98?Fax:
phone y1s772-260-9565
E-Ma i I SHORELINEROOFI NG@YAHOO,COM
State or County License CCC1331 170
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i L u-ti t D 14. --:,,-'"
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:/)
DrsrcNER/ENGINEERt 1,Not Applicable
Name:
Address:
City:State: _
zip:Phone
MORTGAGE COMPANY: .,/ Not Applicable
Name:
Address:
City:State: _
zip:Phone
FEE SIMPIE TITLE HOTDER: J Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: *Not Applicable
Name:
Address:
City:
Zipz Phone:
OWNER/ CONTRACTOR 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 Countv makes no reoresentation that is srantine a Dermit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owilers AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult witti'|our Home Owners Association and review'your deed for any restrictions Which may aiply.
ln 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 lmsndments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fenceq walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Ludie County and posted on the jobsite before the first inspection. lf you intend to obtain financing, consult
with lender or an attornev before commencins work or recording vour Notice of Commencement.
STATE OF FLORIDA r ,{. ,couNrvdi]]Hf,flt, 'f ,l "o _
Commission *o
Signature of Owner/ Lessee/Contractor as Agent for Owner
Swotrto (or affirmed) and subscribed before me of/ Phvsical Presence or Online Notarization
,@fAdayof (j t-'Cl I .zozo by
Personally Known Y. OR Produced ldentification
Type of ldentification
(signature of N ry Public- State of Floridq )
Signature of Contractor/License Holder
STATE OF FLORIDAT ^l , , i
couNw dr -"'ffi}-. Ol IC..' q-
Name of person making6tatement. J
Personally Known t/ OR Produced ldentification
Type of ldentification
Produced
sworgdlor affirmed) and subscribed before me of
r/Phvsical Presence or Online Notarizatio
th@lt?.day of -( lutq . zoza by
16\ *
1 02839
Expires
TrIUU.rr, .. BRANDY M
SJt totary Public-Stat*! Commission # Gt;(A)li Commission # G
ls My Commissian
REVIE!T/S PLANS
REVIEW
FRONT
COUNTER REVIEW ?,S[IHM,PYi?Hw::lREVIEW te REt/ffiIu,
I$ My Commisszrfiiii E xpires
DATE
COMPLETED
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