HomeMy WebLinkAboutREROOF APPLICATION - 640 SENEGAL CTAl I APPUCA13 LE IfµFO MU ST BE COMPLETED f OR APPLI CATKIN TO B E ACCEPTED
Rat.e; 12-1-2020
Pbnning and Devedapme.0 Services
Perm it N umber _
Bui (ding Permit Application
130609 avid Cvhde RepafiWim lfu,sfori Co rn m e rba 1
2300 L ir0nfv AvEnue, For# Pkrc-e R 345V
Rhone; (772 ) 462-1 a 5.3 fax: (772) 4E7-1579
PERMIT APPLICATION FOR; RE ROOF
P ROPOSE D I M PROVE M E NT LDCATI ON:
AderesS: 640 Seneg al CT PO R7 P I ERC E FL 34982
Prop" Tax ID #; 5410-5 -009D- -$
Site Plan Narne:
Project Name,.
DETAILED DESCRIRTION OF WORK'
REMOVE SHENSLE AOOF
INSTALL PEEL & STICK U N 1) E R LAYMENT 6048
INSTALL SHINGLES FL1 0674
Ruw EI eetrieal Meter -Second E Iectrica I Meter
CONSTRUnON INFORIVI.ATION.
Addi kiunj I work 10 Ibk- !P�!rfor med under this Iperml t - chef k a I I that apply-.
R-esidential
Lot No. 22
INQr* No- G
_Mechani r,af — Gas Tank _ Gas Pi ping _ 5h utters — Windows/Moors _ Pon-d
E learic _ Plumbing _ spri rokl-e rs _ Generator X Root [ P itch
Total Sq. Ft of Construction: rQ47
Cost of Constructian: S 10-5M
OWNER/LESSEE
Sq, ft, of First Floor: 2,047
Utllltles; -!Sewer _Septic Pv il0i ng H e ight: 5 FT
Narna Annette K161
Address_ 640 Eer�eg a1 CT -
City: FORT PkE R CE State:
Zip Code: 34982
Fax:
Phone No... ---
E-Mail;
Pill Iri fee slmple Title Holder on next page I if ti fFerent
f rorn Use Owner I istecl a l)ove M
CONTRACTOR:
Name: ROLANO WI LEY
Corr)pany; SHORE L I N E ROOFING
Address: $ 973 SW GLEN DALE STR EET
CItV; PORT ST LUCIE _ _ _ Stag: FL --
zip Code- 34987 Fax:
P hone No 772- 0-9565
E-Mail HORELINERCOFIN @YAHOO.CO 1
'state Or County License CCU' 1331170
If value Of ron!�trudion is 25DO ar more, a RECORDtD Notice -of Com mencemeFn is regufrd.
if value of HAVC is $7,50D or more, a AECDRDE D Nutire of Coal mencement Is requi red.
SUPPLEMENTAL CONSTRUCTION LIEN
! DESIGN E FR f ENGI N EER= -- Not Ali pl i
LAW INFORMATION:
e
Name;
Address- —
Ca#fir: State;
Zip, Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
N-ame:
Address;
City:
Zip; Rhone;
MORTGAG E COMPANY: _ Not Ap pl i cab1 e
Name -
Address;
City '. 5#-a# e=
Zip; Phone:
BONDING COMPANY, Not Ap PI i ca bI e
Name:
Address;
Cittir
zip! _. Pihone-
OWN E CONTFIACTO R AF FI DVIT:App+lCati-on Is heeabtir Made to ofxtain a permit to do the work and installation as i nd IcaTpd
I cerri f yr dtisr no work or i n5tailation has commenced prior to the Issuance of a permit.
St. Lucie CoLwyLy Fnakes no representation ttiat Is gtantlN a permit will aurt"ri£e the rmit holder to build the subject struotufe
which Is In conf1110 with any popliic-D�Ie Home Orwnets A ciadon rules, bylaws or and covenants that may restrict or p ohibit such
structufe_ Please Consult with, your Home Owners Association and review wour deed far anyr re,.�#rlcti-orr6 whIM mn iNpp y.
in-consi-deation of the granting of then requested permit, I do here -by agree that I will., in all resp"ts, jxrfvrm the work
in accordance with the approved plans, the Florida building Codes and St Lucie County Amendments.
The foliprwir%j� buildi ng permit applications are emmpt from undergping a full coneurr-envy review- rfibm addition$,
accessory structures} swimming pw3Qls, fences,, walls, sikns1 . screen roums and accessory uses to another non-residential use
WARNING TO OWN ER, You F fal lure to ReCor-d a Notice of Commencement maV result In pawlrlo twice foe
i rnprovi?m ents to you r property- A Not is e of Co in ine rrce ray ant rn us# be rermrde d in the pu blic record s of St,
Lucie County a nd ;posted on t be tobsi to before t I'W fir,# ifl5pection- I f -you intend to obta i n fi nanc i ng, cons ult
with lender or an attorneys before com menc i ng work in r r -ordiryg Yo u +f4p#ice of Corr) mencem ent, _
Signature of Owner} I e5se—e fUnkfactar Is Writ for Owner
I STATE OF ELQRIDk--.
! COUNTY OF �
5wo to (cr affirm�egd) and sutKKritmd befor-e me of
_daysp Peel-3 r Online N-otarization
thisof 2020 ti�3'
iName aF Person ma king stabament.}
! Personally Known OR Produced I der fKa6aa
' Type of I-dumification
Pr UCed__.,
A.
(Signature of fkot public- Stage of Fiorldo }
Commission No. + 1 [
REWEWS -FRONT ZON I N G
COLT NTER I REVIEW
R ECEIVEI)
COIN PLETE D
Signature of Contractor�Lace nse Holder
STATE OF FLORIDAC. -
COUNTY OF
Swwor to (or affirmed) a nd subscflhed before m e of
Physical Prence flr ON ine N warl2atli)n
thisday of 20 bw
N ame of pef$on m2kk ing
rwnallw Known " OR produced Id en j i6if�&
TyptF of Identi-fic3don 3--
Produced__.
-
15knature of N a Public- State of Florida I - •
Eommi�sion No. � } � 3
.o
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5U:P ERVISO R I P IAN5 I VEG ETATION SEA TRH RTLIE I MANGROVE
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