HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/13/2020 Permit Number:
P , Ill" - L
Building Permit ppli*cation
Alarming and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772.) 462-1553 Fax: (772 ) 462- 1578 Commercial Residential X
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PERMIT APPLICATION FOR : Roof
PROPOSED IMPROVEMENT LOCATION', ;��;� � ��� _ � �;;��,��� - -�
6 1%.IIIIIIII' 'r fe; r
Address : 5500 Saint Lucie Bled . , Fort Pierce , FL 34946
Lega l Descri ptio n : 34 34 40 SW 1/4 OF SW 1/4mLESS ASTRI P OF LAND ON E BE I NG 331 .2 F"f" ON N Ll AND 333 FT
ON S Ll (OR 2947-659: 3111-1969)1
Property Tax I D #.W 1430-331�0002-vO00-5 Lot No.
Site Plan Name: NIA Block No .
Project Nam e: NIA
Nor
Setbacks Front N/A Back. N/A Right Side : NIA Left Side : NIA
DETAILED DESCRIPTION OF WORK :-
We will tear off the existing asphalt shingle roof down to the plywood decking . Nail the deck off to the
current code . Install a high temp self-adhesive underlayment and a 26Ga. 5V metal roofing system .
CONSTRUCTION INFORMATION : '
Ad dirtio na I work to be Pe rformed u n er th is pe rm-It — check a y:app
HVAC Gas Tank Gas Piping Shutters Windows/Doors
E l e ct ric � Plumbing Sprinklers � Generator 4 Roof J12 Roof pitch
Total Sq . Ft of Construction: 10 Sq 5 Ft. of First Floor: NIA
Co st o f Co nstru cti o n : $ 7,670.00 Utilities: Sewer Septic B uild i ng H eight: WA
OWNER/LESSEE ., CONTRACTOR :
Nagle Road Runner Travel Resort LLC Name : Ch nStophBr Collins
Address , 55M Saint Lucie Blvd Company: Collins Roofing Inc.
pity: Fart Pierce State : FL Address: P.O. Box 12867
Zip Code : 34946 Fax: NIA c1tvFt. Pierce State : F L
Phone No . NSA Zi p Code : 34979 Fax 7 72-483-6505
E-Mail - NIA Phone No.. 772-201-1352
Fill in fee simple Title Molder on next page If different E-Mail : collin5roofingincQgmail .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.
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UPPLEMENTAL
CONSTRUCTION LIEN -LAW INFORMATION :
Ak
D EICIII ER/ENI NEER: Not Applicable o� ApPlicable
i111�R� AE �II�IP�41VY.
am�: load Runner 7rave I Resort LLBName :
Add re s : 5500 fai nt Lucie �I�nd., dart �i��e, FL 3494� Address : 5500 5aint LucEe Blvd
I ty Fort Pie roeStatee � cityd F1. PierceState :
Zip : Phone Zip; Phone :
FEE SIMPLE TITLE HOLDERAw
: Not ApplicableBONDING MPANY: Not Applicable
Narne . N ;3meo.
Ad d ress : P o, 8 ox 12 867
c 4 Address:
i City:
Zip : _ _ _ Phony: Zip: Phone ;
OWNER/ CONTRACTOR AFFIDVITE 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.
fit. Lucie County rrra ices no re resentation that is granting a permit wi ll authorize the permit holder to bu ild the subject structure
which is in n ict with any applicable Home Owners Association rules bylaws or art covenantsc� �n� nts that may reStrict or prohibpt such
structure. Please consult Frith your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested perrrrit ar�e
, I do hereby g that I wi ll, in all respec#s, pe orm the work
I
re accordance with the approved plans, the Florida Building Codes and St., Lucie bounty Amendments.
the fo llo bui ld i ng perm it applications are exempt from u ndergoing a full concurrency review: Hoorn add itian st
accessory Aructures, swimming pools, fences, walls, signs, screen roams and accessory uses to a er n-residential use
WARNI 0 : 110 allure to Record a Notice of Cornmenc en# ma r ult in you paying twice for
� pro ments ur prope A Notice of Commencement st be reco ed and os ed on the jobsite
befo the �r n ection . If y u intend to obtain financing, nsult wi de r or a orney before
co encE 9L re rd ' n your Notice of Commence ent.
S I tore of owner UE�ssee/Cnntractor as Agent for Owner Sig Co tr o se Haller
STATE OF FLORIDA
f STATE OF FLORIDA
COUNTY OF COUNTY OF
The f r ing instrum nt as acknowledged before erne The ing instmjmen was acknowledged before me
th is a of ��� bar this yof t2QL by
Nmae f perso aking statement Name of pe��on rrtiaking statem ent
Personally Known OR Produced Identification i Personally Known T OR Produced Identification
Type of Identification 7ype of IdentificatIh 6 - _011
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Prod uced Pro V6
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[)ARDeN { � �# ;, �lotnry Pub�'e m 5lake of Florida
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h�ot��ry Pub��c �# GG �J2S
: ' . • : Commission # GG 7� �5
r,, c c��+5��0�', �421 F� _ ,�i My Gomm. Ertplres sec i8, 2421
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CUMMI 1 v. (Sea 1) Commission Na. (Sea 1 )
REVIEWS FRONT ZONING SUPERVI OR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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Rev. 8J 2/17
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