HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
cps
RECEIVED PEAR 13 2017
Building Permit Application
Planning and DebelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Yes
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: L90 ) L ,(a Syyyyl----����a . �(5f-� 91 P;(�CP �
Legal Description: l Esc) Qygs( f o - nl 001
Property Tax I D#: 302-LO O-641 -0002 Lot No.l 11 M[24i`3G
Site Plan Name: N/a Block No.T(0
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 roofing down to the plywood, Re-nail the deck to the current code and Re-roof.w 4V-,
CONSTRUCTION INFORMATION:
Additional wor to e e orme under this permit-check a apply:
EIHVAC E]Gas Tank Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers El Generator Roof
Total Sq.Ft of Construction: Q r� �� S . Ft.of First Floor: N/a
Cost of Construction:$ i�19 CO Utilities:cn Sewer E]Septic Building Height: N/a
OWNERAESSEE: CONTRACTOR:
Name \' \ Name: Christopher Collins
Address: $ 0., ( Company: Collins Roofing Inc
City: State: 'EL Address: PO Box 12867
Zip Code: Z 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.
S
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: d_Not Applicable MORTGAGE COMPANY: d_Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: d_Not Applicable BONDING COMPANY: Not Applicable
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 respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The followin ng permit cations are exempt from undergoing a full cure y review additions,
accesso structure swi ing po Is,fences,walls,signs,screen rooms a accessory ,se another on-residential use
W NING TOO ER:Your f ilure to Record a Notice knement.
mencement y result in yo r paying twice for
JEefore
ovFmet your pro y.A Notice of Commenent must b orded and sted on the jobsite
t specti you intend to obtain fing, consul lender ttorney before
mmeoror o in our Notice of Comm
s
—4 r lwz�
S' re r/Lessee/Agent Si of or 'cense Holder
STATE OF FLORIDA u STATE OF FLORIDA
COUNTY OF O Luoi e COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of nnairr 201 by this�day of 20 by
i
(Name of person 5cknowle ing) (Name of pers n acknowledging)
AL4') . / -a 12 J9,
a
(Signatur of o a blic-State of Florida) (Signatu r&MOP u151lic:_§tate-of Florida)
Personally Known OR Pr duce Identification Personally Known OR Produce Identification
Type of Identification Produce �' Type of Identification ProducedRQ 9
Commission No. S EY D FRENCH ommission No. „�
( CA )FRENCH
Notary Public-State of Florida ;20�` °<< Notary Public State of Florida
= n = my Comm.Expires Dec 1,2017
Commission## FF 069924 =N•° °o; Commission FF 069924
Revised 07/15/201 'e Bonded Through National Notary Assn. %FOF
Bonded Through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
COMPLETE
=INITIALS