HomeMy WebLinkAboutBuilding Permit applicationAl I APIPU ABLE INFO MU ST BE CpRAPLETED FO R AIP PLI i�4T101%1 TO BE ACCEPTED
Date:
I --� —
•
p, onRf" and [)eveJoRment 5trwices
?errnLt N u rube r; _
Bu Ildiing Permit Application
Era ,WirT and Code RegWlaiion Djvjs�vrl
23W 4fir!pjrria Ave"We. Flirt PleKe FL 349U
no-w. (772) 4-52-1553 fax: (77 214621- 1578
Commercial --
F-PfRMl7 APPLICATION F R:FCE ROOF
Fri` Sid.entl.al
PRQPOSE') IMPRO VEMENT LOCATION:
Address_ S615 TFIAVEL.E IRS WAY FT P I E RC E
PrnlSertY Tex I D #_
3410-503-0016-000-7 Lot N0, —
Black No.
Site Plan Nam(!:
Pr[)Ject Name: --
L2ETAILEL DESCRIPTION OF WORK'
REMOVE SHINGLE ROOF
INSTALL PE E L & -SX I K U N DERLAYM ENT FL 16048
INSTALL SHINGLE FL10674 1� ST fA)�
New Electrical Met -err Sevo nd E Iectrlca I Meter
CONSTRUCTION INFORMATION'
AddLrianal war k to pe rfOrmed under this Perm it — check all that a PilIy;
-_MechanicaI
Electric
— Ga5 Tarok
plurrtiNng
TataI Sri- F[ Of Cvnstructian: 1 776
8.000
cast Of f-orrstructicin 5 -
QW N EI LESSEE:
Name Fobert FeF"an
Gas PI ping
— sprinklers
5q.
shutters
— 1Generatof
i rwdowglmors Portid
Raaf Jid Pltch
Ft of First Floor. 1 ,? 0 S
>a tilltie5: _Sewer — Se Ptit
Address: 6615 Tfavi lem WAY
0ty- FOB S _State:
EL
ZMp Code: 34982Fair:
Phone No-
E-Mail: _
Ci ildl ng HE40t; S FT
CONTRACTOR:
Name. ROLAND WILEY
Company:,
HOP LINE ROOFING
Add r%ass; 1973 SW G IrENDALE STREET
City: POR-IF RT LUC I E to Ee; FL
Zip Cade: 34987 —
[�hprLe NO 772-260.9565
F111 in fee simple Title >i old E!r an next pad,e ( if dMEfererrt E-Mlail H�fiE LGNEI���F IP10 ' 1�,�HCMO. CMS
from t he Ckwrier I istEd a h owe)
State at Courrt* License 0001 �� � 1 ��
i
If value of const-ctlon iS 75M Or MOM a RiEC:DRDEd N*tke o! Cgmmenceml�nt k required,
1t 1ra lue Of HAV.0 is $7.Soo or more, a RECORDED Notice gf CorrmmerKement is mquired,
C1100LEKII EN7AL C NSXRUCTION LIEN LAW INFORMATION,
DES E#/ENGIN EER: Not Applica bl a MORTGAGE COMPANY; _ N �# �pp I i{ a b1�
Barrie; _ fume;_
Address: _ Address;
City; Stake: City; State;
State �: Phorl e_ Zip= Rhone:
FEE SIMPLE TITLE H OEb ER: _ riot Applicable BONDING CO MPAN Y; _Not A pplic able
NaM-E riame:� �-
Address: Address-
city- City-
phone: Zip; Rhone:
OWN ER/ CONTRACTOR AFFIDW. Application is hereby ma de to obta in a penruit to do the work and i nstallation as indicated.
I wtify that no work or Irrstallarti" has wrnmenoed prior to the is&uance of a Permit.
St Luole Courfty rn akes no rep esentatian that is granting a perrnil will authorize the permit holder to Mild the Subject structure
which is in oonfli t with anyapplrGa ble Horne Owners Association ru les, bylaws -or and covenants that may re�tric t or prohibit such
sir ucture_ Fgease consvIt with your Home GwnerS Association a-nd re%rlew your deed for any: eask : mns whr[ may apply.
In consideration crli tht, granting -of this requested pear~ il�, I do herebrY agree that I will: in all respects, perform the work
in aroordanre with the &pproved plans, the Florida Ruitdi ng CDdes and 51. Lurie Cvu ntv Amendments.
The roll -owing building permit applications are exempt from undergc&g a full concuFrencV review-. Fmrn a.ddrtaons,
accessor-y structu re-s, swimming pools, ftetces, walls, signs, screen rows and accessory uses to a norther non-residential use
WARNI N G TO OWNER = Your faikure to Record a Notre of Commence me nt may re#ult in paying twioa For
i m pfoveme nts to yo-ve pro pe rty. A Notice of Cornmen cerne nt must be recorded in the pki blic fecordS Of St.
Lu,Cre Count} all d posted o n the job s ite before t he fi rst rn Specti o n. I f -you intend to obt a i n fi nanCl ng,, con 5ult
with lender or an attaMgw before co rn rnenc I ng woe k 0 r recordin our Notice of Qom m err -Cement. .7
S,g atI.I ro of Owner) Lessee n r 5 Agent for Owner Slgnature C4arrtrattor/License Holdeirii
STATE OF FLORIDA
COUNTY OF
Sytqm tea (or afritnied) and subscylbed before M2 -OF
P rtal Pre rue of Onli" NWarix3ti6r1
this ay+ of 2024 by
Name of person ma
Personally Known OR Produced 9de
Type Qf IdendfiicadoA —
Procluced
(signature of N rV Public- State of Flctfida
Corrmmrssion Aloe C)L I 0 1 N
REVI EWS
STATE OF FI_0ItID
COUNTY OF— .
5wo{or af#irmedM and subsenbed before me of
hyrslcal Pres nee or Online N o ar,ration
#hls ay of W29 by
Name of person making
Personally Known OR Produced I•dentlfici
Type cif Identiflic-&Wr i c
Produced 4
lhl&j,
{Signature of t ry Nbl ir- Stag {�f Florida j
`` 19
Commission No. 1 (Sa I) , tirro
r RO NT I ZCINI14G I SUP I=FIVISOa I PLANS VEEa ETATICIN SEA TURTLE I MIAt+ GAOV E
11:0 U NTE R REVI EIS REVREVIIEHr REVIEW I REVIEW FLE1+lE N+