HomeMy WebLinkAboutReroof Permit Application - 5223 Palmetto Dr51[IIIGilEH
AIIAPPLICABTE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-22-2A20 Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division COmmefCial
ziAA Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (7721 462-L578
Residential x
PERMITAPPLICATION FoR: RE ROOF
PROPOSED I M PROVEMENT LOCATION :
Address:5223 Palmetto Dr Ft Pierce 34982
Property Tax lD #:
Site PIan Name:
3402-606-0045-000-0 Lot No.46-50
Block No. 5
Project Name:
DETAILED DESCRIPTION OF \T/ORK:
Remove shingle roof, lnstall 5 V Crimp Metal trL l-1 6ZZ
rnstail ASrM 30 # FELr FL ZZq u
lnstall Modified base sheet & modified torch down cap sheet to flat roof f U lk Sg
New Electrical Meter Second Electrical Meter
CONSTRUCTI ON I N FORMATION:
Additional work to be performed under this permit - check all that apply:
*Mechanical * Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
PitchElectric* Plumbing _ Sprinklers Generator XRoor 5t1?
Total Sq. Ft of Construction ' 4703 Sq.
Utilities:
Ft.of First Flo or. 4703
Cost of Construction: $ 19,500 Sewer _ Septic Building Height:8Ft
lf value of construction is 25fl1 or more, a RECORDED Notke of Commencement is required.
lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
owNER/LESSEE:CONTRACTOR:
NameGARY FRANKLIN
Address: 5223 PALMETTO DRIVE
City: FORT PIERCE State: EL
ZiPCode: 34982 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: ROLAND \lVlLEY
Company ,SHoREL|NE ROOFTNG
Address.1973 SW GLENDALE ST
City: PORT ST LUCIE StAtC, FL
ZiP Code' 34987 Fax:
phone Ns772-260-9565
E-Ma ; I SHORELI N EROOFI NG@)YAHOO. COM
State or County License CC91331 170
SUPPLEMENTAL CONSTRUCTJpN LtEN LAW INFORMATION:
DESIGNER/ENGINEER: Z*Not Applicable
Name:
Address:
City
zip:
State: _
Phone
MORTGAGE COMPANY3 Z-Not Applicable
Name:
Address:
City:State:
zip:Phone
FEE SIMPLE TITLE HOLDER: ANot Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANYz /Not Applicable
Name:
Address:
City:
zip: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 reDresentation that is erantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv a'oolicable Home OwEers AsSociation rules. bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult witti iour Home Owners Association and review your deed for any restrictions uihich may apply.
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 Amendments.
The following building permit applications 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 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.
Lucie County and posted on the jobsite before the first inspection. lf you intend to obtain financing, consult
with lender or an attornev before commencing work or recording vour Notice of Commencement.
Signature of Contractor/Licen Holder
STATE OF FLORID
COUNWOF
Sworyd(or affirmed) and subscribed before me of
r'^Phvsical Preseece qr Online NotarizationPresence or Unlrne N
of t-\J- zoz
Name of person makinr stafrneng
Personally Known :/-oR Produced I
Type of ldentification
Produced
(Signature of ry Public- State of Flori
Commission No.Glcz8bq
Signature of Owner/ Lessee ontractor as Agent for Owner
STATE OF FLORID
COUNTY OF
,/Swor/to (or affirmed) and subscribed before me of
V--Bnvsical Presence,or OnllneAtolarizalio#','jffiP; e,qP ?irr -
o n I I n e
Name of person making gt6tement.
Personally Known V OR Produce
Type of ldentification
Produced
(sienature of
Commission N
rr LL $l ';
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REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PI-ANS
REVIEW
VEGETATION
REVIEW
SEA TU RTLE
REVIE\,V
MANGROVE
REVIE\TT
DATE
COMPLETED