HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BIE COMPLETED FOR APPLICATION TO BE ACCEPTED
DatemA
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation 0ivision
2300 Virginia Avenue, For[ Pierce FL 34987
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR% Riot
Commercial
Residential X
PROPOSED IMPROVEMENT LOCATION.0
Address: 7704 Pensacola Rd., Fort Pierce 'FL
Legal DescripUon.l- LAKEWOOD PARKhaUNIT 8- BLK 64 LOT4 (MAP 13/02S) (DR 66-4-1686"1167m2-12)
Property Tax I D #: 1301-w60 6 wO 13 8 -000=3 Lot No. 4
Site Plan Name: NIA Brock Na. 64
Project Name: NIA
Setbacks Front NSA Back: N/A Right Side: NSA deft Side: N/A
DETAILED DESCRIPTION OF WORK.0
We will tear off the existing asphalt shingle roof. Nail off the deck to current code. Install a high temp
self adhesive underlayment and a self adhesive base an the flat roof. Install perimeter metal and all
fliar,hinn the inntall the self adhesive car) sheet an the flat roof and install the 5V 26 Qa metal on the
ain house. This'is a 5V and a self adhesive flat roof.-
CONSTRUCTION INFORMATION:
under this permit — check a
Idi 'tiona work to be pertormed
IIHVAC Gas Tank
E leetrie
[:]Gas Piping
0 Plumbing F—IScor'Inklers
Total Sq. Ft of Construction is- -L6514 main and 5sg flat
Cyst of Co n stru ct i o n: $ 111750, 00
OWNER/LESSEE:
Name Randall C Sutterfield
Address: 7704 Pensacola Rd
apply:
Shutters
El Gen
e rato r
Windows/Door$
Roof
112
S Ft. of First Floor*: N/A
Utilities: Sewer Septic Building Heght.iNIA
C��: Fort Pierce St.ate: Ft
Zip Code: 34951 Fax: N/A
Phone No. N/A
E-Mail: NIA
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
CONTRACTOR:
Marne: Ch nstopher Collim
Company,: C011ins. Roofing
Address: P.O. Box 12867
1co
Roof pitch
C��: Ft. Pierce State: F L
Zip Cade: 34979 Fax: 772-489-6 505
Phone No. 772-b-2014wl352
E-Mail.. collins roofinginc@gma-11. corn
State or County license; CCC 9&058011
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
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SUPPLEMENTAL CONSTRUCTION LIEN SAW INFORMATION:
A -
DESIGNER/ENGINEER: �W Not Applicable
Name: Randall C Sutterfield
Ad d re SS a 7704 Pensacola Rd., Fart Plerce FL
City 4 RDd Piece State.•
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not App 1i c a b le
NameA..
Add ress: P�o. Box 12867
City:
Zip: Phone:
MORTGAGE COMPANY:
Not Applicable
Name:
A d d re s s: 7704 Pensnoala Rd
city& FL Pierce, state:
dip: Phone:
BONDING COMPANYAa
Name:
Address-
City;
dip: phone:
Not Applicable
OWN ER/ CONTRACTOR AFF1OVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
St,. Lucie County makes no representation thatims granting a permit will authorize the permit holder to build the subject structure
which is in eanflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed far 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 Amendments..
The following build in ermit applications are exempt from undergoing a full can iew: room additions,
accessory str es, sw m' ntes, waNs, signs, screen rooms an cessnry uses to not 'dential use
WAR G TD 011�� :Your failure o Record a Notice a� Cn encement resu in your paying ice for
im vements property, A Jqtics of Commence nt must be cor nd posted on t jobsite
b ore the fion. If inttnd to obtain lino ing, consul it or an attornev b fore
ommer�ci ar re �your Notice of Comm ncement.
Signature of Owner/ L
STATE OF FLORID�
COUNTY OF
Contractor as Agent for Own
�igna��� �f Contractoril/lu
01 SPATE OF FLORI4A
ii��� COUNTY OF
The fn instr en was a kno ledge efore meThe
this of 2p�by this
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Name of pdrson making statement
Personally Known
Type of Idenfirfication
Produced I
DR Produced Identification
(Si
L
gn atu re of Notary Public- tote of Fl+ar
Commission No. �
REVIEWS
DATE
Rm E CE IVE D
DATE
COMPLETED
Rev.. 8/2/17
F # F
-older
men ��fknowledged before me2 bV
Name of person making statement � �
Personally Known
Type of Identification
Produced n A?"P)l
OR Produced Identification 'p�
=v
Rebekah Hoy (Signature oflCo ary Public- State of f ari
■ NOTARY PUBL C I
STATE OF FL mission No. D
corn GG294 10 �1
a� Expires 2117/ 023
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Rebekah Hoy
NOTARY PUBL
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