HomeMy WebLinkAboutBuilding Permit ApplicationAll APRLIC LE INFO MUST BE CONIVJkTED FOR APPLICATION TO $E ACCEPTED
Batt,; 12-17- 020
Permit Nunn bet'
Building Permit Application
Rafmin0 and 0evet rme"I 5ervxEs
0Liga+rig arrd Code Reg u0atort 1 rV•1Sfon Co M me rCia I Residential
.�. V'rgrnia Avenue, FNI R'1 W FL 34982
Phone: (772� 462-1553 Fax- (772� 462.1575
FFE-k'f� ,T A PP LICATfON FOR: FIE ROOF
PROPOSED IMPROVEMENT LOCATION;
Address= 6013 ADON I a IA FL FT F IE F IC E
Property Tax IID #;
Site Plan~ Name;
3410-503-0374-000-4
Project fume; _
ETA I LEES D ESCRi PTI ON OF WOR K
RE MOVE SHINGLE ROOF
INSTALL FEEL & STIC K UNDERLAYMENT FL16046
INSTALLSHINGLES FL10674
NIM EleCtrital ilAeter Second Electrical Meter
Lot No. 36
Block No. L
CONSTRUCTION INf0RMATION: _
Addikio.lal work to be perforrned under this permit - check all that apply;
Mechaniui _ Gas Ta n k _ Gas Piping _ Shutters _ WIndows jDuvr5 � PDind
_ Vactrif _ Plumbing _ Sprinklers T Gen-erator I RQgf 5112 Pitch
Total Sq. Ft of Corwstrtietlon; 2.385
Cost of CoR5truction_ $ 10,E
Sq. Ft, of FirsT Flaar: 2.385
Lltililk!S= Sewer - s pti r- Build Ing Heigh# 8 FT
OWN ERf LESSEE:
blame William Leahy _
Address 6013 Adonid is P L
City{: FT PIERCE
Zlp Code: 34932 Fax'
Phorre No. _.
E-Maii=
FiR in fee simpit Title Bolder on nL-xt Page if diffemnt
frornthe Owner 45ted abvvt)
CONTRACTOR:
Name; ROLAND WILEY
Company, SHORELINE ROOFING
Address: 1973 SW GLEN DALE STREET
CIS; FORT ST WC I E Siam: FL
Zip Code: 34987 _ _ Fax: —
PhDrte No 772-260-9565
E-Ma ill SHORE LINERI FIND LD IYAH00.GOM
State -or County Li-rRnS4� CCO 1331170 —
If value of cgrixkri+ati-on ks 25M or mnrq!, a RECORDED Notlre o1 CDmrrrenLvment ks required,
If vokke of HAVC Is -$7,500 4Or mnrer a RECORDED N btic■ of (;*mmencement is (equ Ired.
SUPPLEMENTAL CONSTRUCTION LIEN LA1,+ti{ I
DESIG NIER ENG INFER s N o f App I icable
Nam. -
Add rL-ss--
City_ State;
i Zip; Phone
4FORMATION;
MORTGAGE COMPANY: _ Not APPIiirable
Name;
City: Stake:
Zip, Phone
FEE SIMPLE TITLE HOLDER; _ N of Appl ica bie BONDING COMPANY: —Not Applicable
Name:— Name;
Address: Address;
City_ City' "
Zipp1wile; Zip-, phone:
OWNER/ CONTRAf-TOR AFFIDVIT; Appl ication is hereby made to obtain a permit to do the work and i nstallation as IrtdiCated,
I Certify that nn work or IrWaliaricn has commenced prig to the issuance of a perinit.
5t. Lucie i~o vrr#y� makes no representation that is granting a perm It wr11 authorize the[
it holder to build the su b*t strirctur-e
which is i n conflict wilh am Mlica&e lfnme Owners A4 sS xraticn rules, byrlaws qr -an c nants that map r #rict or prnh ihit such
Strucbure. Please COML C rwit {our Name Ownem Association and review "ui -deed r any re5tr•[tlons whit may apply -
In comidewation of the granting -of this requested permit, 1 d4 hereby agree that I w+Itl, i rl all respects, perform the wcwk
in Kcvrdarrce wlth Idw approved pdans, the F Ierl-da Building Codes and St LUGie County endments-
The fol lowing bulfdrng perrnit appl ications a re ewrrtipt f*om u nd-ergoing a full ooritu rrencyr review: room additions,
accessory strUcture s, swimming pools, fenrt � wal Is, signs, tureen nooms and accessory+ uses bo a npther non-residential use
WARNINii TO OWNER. Yau r fallu re to Res-onrd a Natdce of ]�omrt78ricement may re 5m It Mn payi ng twice for
improvers ents to you r property_ A N of ice of Cam mencem ent m ust be rec4 rde d in th-e pu blic reoor6 of St.
Luc ie County a nd post ed on th a f obsi to before t he f nt in spectiorti_ If you intend to obt a I n fi rianci ng, con suit
with Ian der or an -Attarney lief-Dre cam rnenc i v work o r recar-di no. your Notice of Conn ru enrem ent.
5igrLature ufOwner{ I essee1':�O$-tor as Agent for Owner 5igfflature of CcintracWfLiCense 1144ier
OOUNTY OF FLORIDA �, k COAT OF FLORIDA
Low
S rn to for affirmed] and sub5[�ibed before me of S+wcwKtn {or affirmed} and subscribtA before me of
PIYysBcad Presence of OnPlne Natari2ation Physical Presence or Ordine-NotatiZ. iw5
this day of ._.. 2 O by this dayr of tom by
n k oln
Na me -of person making
PersQnallyr Pnuwn %/ OR PfoduceA Idenkfflca[0, k
Type of Identification
Produced
{S*nature of N blic state of Florida
-COM NSSion Nu. (Seal) Ar-f#"
Name of perwn milking temertti
Personally ICn¢wn — +� k Prod used Jdrntie4:
Type of Ideri#ificis#ion
Pre0_. _.
[5ign.otuie of Not" pu1511C- SWO aF Florida ] _
ComrtoissbneF Hotfj deal)
t
REM [WS FRONT ZON I NC 5U P ERVI SOR P LANS VEG ETATION SEA TURTLE MAN GAOf+F
COUNTER REVIEIS+ REVIEW I REVIEW REVIEW REVIEW RFVIEW
DATE
RECFIVED
DATE
COMPLETED