HomeMy WebLinkAboutPermit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
F
Building Permit Application
Planning and Development Services JUL 2 5
Building and Code Regulation Division PER,-iM-TENG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie 0'OUntv FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Yes
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: _7(1)1 C)apt C, L-_ E1, R:e l2c-e EL
Legal Description:
Property Tax lD#:
Lot No. l to
Site Plan Name: N/a Block No.
Project Name: N/a
Setbacks Front N/a Back: N/a Right Side: N/a Left Side: N/a
[DETAILED DESCRIPTION OF WORK:
We will tear off the existing,roofin down to the plywood, Re-nail the deck to the current code and Re-ro f.
01,l PnrIaS ovch bvwK
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit-check all a Dp DpTvy-:
1HVAC Gas Tank Gas Piping Shutters, F]Windows/Doors
Electric ❑Plumbing Sprink❑ lers F]Generator Roof
Total Sq. Ft of Construction: 4X0 S Ft of First Floor: N/a
I s C'S9() m li N/a
Cost of Construction:$ Utilities. Sewer Building Height:
OWNER/LESSEE: CONTRACTOR:
Name P �- KC)±h1Q(,,n �ACIC=)C) Name: Christopher Collins
Address:-70) E)r.CA r_ Company: Collins Roofing Inc
City: aPwy-re- State:� Address: PO Box 12867
Zip Code: '2)L-Jq2"— Fax:N/a City: Fort Pierce State:FL
Phone No.N/a Zip Code: 34979 Fax: 772-489-6505
E-Mail:N/a Phone No. 772-201-1352 or 772940-8607
Fill in fee simple Title Holder on next page(if different E-Mail: Collinsroofinginc@gmail.com
from the Owner listed above) State or County License: CCC-058011
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: dp icable MORTGAGE COMPANY: d Not ppheable�
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
F E SIMPLE TITLE HOLDER: d_Not Applic BONDING COMPANY: Not A iE e
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County 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 Home 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 res ects,perform the work
in accordance with the a proved plan orida Building Codes and St.Lucie Count endmen s.
The followin Gilding per it ications are exempt from undergoing a full c urrency review- m additions,
accesso tructures,swim ng pools,fences,walls,signs,screen rooms an ccessory uses anot er non-resident I use
W ING TO OW :Your failure to ecord a Notice of Co encement m r ult n your paying ice for
i provements o r property. tice of Commence nt must be r co d d posted on t e jobsite
efore the ' s e n. If i end to obtain finan . g, consult w' de or an alto y efore
commen 'n r c ur Notice of Comm cement.
s
Lure of Owner/Lessee/Agentigna ntracto ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF &,'LA ( .t z c.,a �
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 by this Sday of 20 1 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signa a of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR ProAuced Identification
Type of Identification Produced Type of Identification Produced V L, T7 L.
Commission No. (Seal) Commission No. C6 /0r LJW,:�
�Nivi:�•.,,, PHILIP DAS
1064CH
. .c,: Notar Public- a
' .•; Commission k GG
?,,,, r�a�� My Comm,Expires May 18, 21
Revised 07/15/2014 ;:;;1r• bnndedlhraaghNallonalNalary sn,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK 0'- SHE CIRCUIT COURT — SAINT LUT 71 COUNTY
FILE # 4333615 OR BOOK za3 PAGE 564 , Recorded 07/25 �,�/)17 10:59: 40 AM
I r-" I;p 74•:�
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. -cllQI—CQ43`Cco—f JUL 2 5 's+
State of Florida County of St.Lucie FEi AI FiiiG
St. Lucie l;ct:ntu, Fri-
The
LThe undersigned hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following Information is provided in this.Notice of Commencement.
T .
Lc al Description of Propert :(and street address If available):
t l 0 sy MO
u
U
General description of Improvement:Tear off/Re-roof r
a
Owner information or Lessee information If the Lessee contracted for the Improvement: W II
Name HlchoueA 'T. F
Address 1201 4 F v,LL M
Interest in property:Owner rn 0
Name and address of fee simple titleholder(if different from Owner listed above): a
rV�.lk
I-0
contractor's Name:Collins Roofing Inc
Contractor Address:PO Box 12867, 'Ft. Pierce FL Phone Number:772-201-1352 0_ `�c LLi
34,979 `Xix 0 x m
Surety(If applicable,a copy of the payment bond is attached):Amount of bond:$ N/a N/a O U U U •UU
L °
Name and address: N/a Phone number:
4.W 0 Z
Lender Name: N/a Phone Number: N/a Uj
O
Lender's address: N/a
Q J N C O
in 1A 1.--- 0
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
13.1 (1)(a)7.,Florida Statutes:
Name: N/a Phone Number: N/a
Address: N/a
In addition to himself or herself,Owner designates N/a of N/a to receive a copy of the
Lienors Notice as provided In Section 713.13(1)(b),Florida Statutes.
Phone number of person or entity designated by owner: N/a
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 year from the date of recording unless a different date is specified) N/a
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY,A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 10B SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of pe' I declare that I a read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowledge b et.
�4�
x ,>bes�,idt
(Signature of Owner or L e,or ers or lessee's Authorized Officer/Director/Partner/Manager 'b �d
wy(killlmlift EON MIAMI
ar ComroklbltNo.ff10 m
(Signatory's Title/Office) n r
& ,The foregoing instrument was acknowledged before me this day of 20 r�
By as d �1r1 �J for
None'of Pe Type of authority(e.g.officer,trustee) Party on behalf of whom instrument was executied
Personally knownor produced Identification
(Signatu Public-State of Florida)
(Print,Type,or Stamp Commissioned Name of Notary Public) Type of Identification produced