HomeMy WebLinkAboutReroof Permit application - 5020 Sunset BlvdAll AMICABLE INFO MUST B E CO M PLETED FOR APPOCATION TO BE ACCEPTED
Date_ 12-1-202()
Permit N umber,
'id Building Permit Application
P�pnrung and Deveopme nt Seruirgs
Bur)Eyinq and Cade ireguta[ron giviva" commercial Residential
2300 Virginia Ave4ue, Fort Price Ft 34982
Phgne: (172) 462-1553 Fax: (T72) 462-1578
PERMIT APPLICATION FOR; RE ROOF
PROPOSED IMPIRQVEMENT LOCATION:
Address_ 5020 Sunset BLVD Fort Pierce, FL 34982
Propertw Sfax le N: 3402-608-0254-000-4
Site Plain Name:
Pr0je1Ct l`Q mL-:
[p�CtAl LEE) DESCRIPTI0N OF w0RK:
RE MOVE SH I NG LE F100F
INSTALL PEEL & STICK U N 0 F-S LAYMENT FLI8048
NSTALL SHI NGL ES FL 1 R355
New Electrical Meter SeDorrd :EI ectri-cal Meter
COS STRIJCTIQN INFORMATION:
LUk No. 24
Additlonai vudrk to bye performed under tFk15 Permit--llheck all that apply:
I &e&artIca I _ Ca s Ta nk _ Gigs Pl-ping _ Shvtm rs Wl ndows f Doors Pond
Electric Plumbing _ Spri n kle rs _ Genera#4r � Roof '� . :Pituh
TotaI 5q_ Ft of Corv5tructiori; 3,331 5q_ Ft. of First Floor- 3,33
Cost of ConmrucUon_ � 12,300 tjtilltles= _ Sewer _ 5eptic. Bui (ding Height: 8 Fr
OWN E R f L ESSEE; CONTRACTOR=
ream KiIlium A Street Name; ROLAN aI LEY
Ad dre 55: o Sunset BLVD Com-pa": SHORELINE ROOFING
City: F()FIT P I ERCE _ State; Addrem 1973 SW GLENOAL E STREET
POPIT ST LIME state; F�
ZIP Code: 3495 rax= [ its'
Phorke No. 772-4-0033 zip code; 9RFax
E-Mail= _
Phone No 772-260•9565
FIII In fee Sim ple Tltie HoW e r o rn next page ( If d iffare nt E - Ma ii HOF4E LI N E ROOI= I NG YAHCX), C>M —
from tFie CFwin-er I fisted move) State or [purky Lice rise E CG 1331170
ff watije of construction is 2500 or more, a RECORDED Not ice of Comrrn emE!nt is �eAuFred.
if value of HAVC is $7, 5W or mare: a RE CORDED %tire of Co mmencement i � req ulred.
SUPPLEMENTAL CONSTRUCTION U EN LAW INFORMATION-.
DESIGNER/ENGINEER; _ Not Applicable
Name;
Address:
City: State;
Zip; Phone
FEE SIMPLE TITLE H OLD -ER, _ Not Applicable
Name;
Addr-ess:
City:
ZIP: Pkine-
MORTGAGE COMPANY- _ N-ot Applicable
Name:
Address;
City: 5#ia#e:
Zip; Phone;
BO N D III G C OMPANY= _Not Applicable
Na me: _
Adidress;
City=__.. .
Zip: phone:
OWNER/ CONTRACTOR ACTOR AFFIDVIT; Appl nation is hereby made to obta ir, a permit to do the work and i nstallation as indicated.
I certlfV th.3t no wbrk or ioiral Ill im has oorri riv-noel prig to the issua noe cf a permit.
SS. Lucie Count ma*c—s no reVesemation that is granting a permit will authorize thercr
rm It holder to build the subfed Ltvuo urn
which is in coict with a nor applicahile Horne Owners ,4ssoc,ati-orr rolcn, bxlaw� or
a rtinants that m restrict or pr4ah ibit such
structure. Ptease consult with pun Hpme owners ciation and r2wiew your deed anv restrictions which may a pphy_
I n consider aki-00 0f Uhe grantir►g of this requested permit I da hereby agree that I wHi, in all re5pects, perforrn the work
in accordance with the approved plans, the FIor1¢�a 1 Iuihdi ng d-es and St. Lode County Amendments.
The fall -owing bvilding permit apoIitati;ons ire emempt from undeirgaing a full conourreinq review: room additions,
m:Ces5ory structUres, swimming pools, fences, wall s, signs, screen roams and accessory uses to ariorher riori-teiidentiol usi
WARN ING TO OWN ER: You r fa ilure to Recorcl a Notice of Commencement may result in paving twice for
amprow-em ants to *our prop-er ty_ A Notice Cif CQrnrnenre meat ma5l be recorded in the pu b4c re cord s of St.
Luc le Coun ty a rid posted erw the j i Gg byre t he first in 5pecti o n. If you i nt end to obtain f aanc i ng, cons u I t
w Ith lan der or an attoirriev before cQrr me ncin vXr rk -a r rec ordi n8 your Notice of Com mencem ent.
r 1 �
Signature of Owner/ Lessee{Cantr as Agent For Owner Tg'nature "Nd
CC U STATE O t Rlar - f ._x.� .� COUNTY OF RIDA - II U1 a 9
S�to (or affirmed) and subscribed before me of
J°h sisal Presence or O nlane Nfltarizatlon
this y of 020 '
P-)LyTy1 � A - �-' I �-.k I t
Name -of person ma7=1
4
7
Personal lye Known ed I ❑ens aci
Type of Identfficatlon }
Produced
Y 1�
I
{Signature of to N Public- State of F Iorida J G
G33D
Commission No.� (Sea rn
5w n to (or afflrmed).and suRwiWd before m4� of
"+cal Presence or ON ine N marizatlan
the dgyr of _.. _ 2020 by
Name of person m aking statement
PersanAlw Known J OR Rrbduced wentl lfionn
Type of I dentificadi3n Ln
Produced I 1
it
�5%nature of NDta ublic- State of Flor.da r ti
Comrni5sion No, u S 9 (seal
REIFIE WS I CO LINTER I REVIIEW I � REVIEW
I REVIEW I � REVIEW I � REVIEWLE P�NSEGETATiONEATURT
DATE
RECE IVE D
DATE
MANGROVE
REVIEW