HomeMy WebLinkAboutReroof Permit Application- 5854 Travelers WayAl I APPLICABLE IN FO MU 5T RE COMPLETE D; OR APPLICATION TO BE AOCEPTIED
Date- 1-25-2021
Permit fJ umber:
Building Permit Application
Pfunning and Devetaomera 5ervkv5
.9ufaYng arhd Code Regubbon Oivi on Co m me rc Ma I Residential X_
2" Viryinifr Avenur- Fort PL-rr FL 34982
Phone=(7721462-1553 Fax: �7721462-1578
PERMIT APPLICATION FOR. FEE RWF
PRIDPIDSED IMPROVEMENT LOCATION:
Address; 5854 TrBv6I8rB WAY
Prop<e rty Tax I D it; 3410,503-0121 000-6
Site Plan Nam 2:
Project N ame
DETAILED DESCRIPTION OF WORK:
RE MOVE SHJ NG L ES
INSTALL REEL & STICK FL2!569 _
INSTALL SHINGLES FL10674 INSTALL. RIDGEVENT NOA19-1217
New Electrica I Meter Second El-ectri cal
CONSTRUCTION INFORMATION.
Additional: work ti) be pe rfQrmed under this permit --check all that apply:
_mocha n lea I
EtWric:
Gas Tank
_ Plumbing
Taal 5q. Ft of Corwstructlon- 21070
Cast of Ca nstruction_ S 10,0M
has Piping
_ Sprinklers
Lot NID. 25
BIoc3a No. O
_ Shatters _ wl ndows/Doers PQnd
_ Gerre1 ater Roof 5112 Pltcrh
Sq. Ft. of First Floow: 2,0F0
utlilitl.es= Sewer __ Septic Buillding Height- 8 FT
OWNER/LESSEE: I CONTRACTOR:
Name ser rillo
Ad,�res5: 5854 Travelers WAY
City_ FORT PIERCE state: fL
zip [ode. 34982 Fax:
Phone No,
IE-Mail:
FIII In fee simple Title Hold e r on next page (if cliff ereaft
from the Owner listed abovel
Name: ROLAND WILEY
turn.parryr: SHOR ELI N E R00FI N 0
Add ress- 973 8 OLENDAL E STREET _
City_ PORT STLUCIE $late: FL
lip Code; 349$7 _ Fax:
Phone- No 772-264-9565
E - Mail S HOREI-INER00FINGLM YAHOO. COM
State or Cou my Uoense C 1331170
If Value a "MnStnX210n IS 23M OF moier a RE CORDED Notice of Commencement Is requ fired,
rf valor Of FIAVt k $7r500 or=re, a REM RDED Notice of Commencement is required.
SURPLEMENTAL CONSTRUC I0N LIEN LAW INFOR ATION:
DESIG N ERJ Ell INEEFR; — Not App I ice ble MORTGAGE COMPANY; Not A-ppildca ble
Name: _ game; --
Add ress, _ _ Address, _
Katy; _ State; City,
Zip: _
Zip= p1horne Zkp; Ph on e= ---
FEE SIM P LE TITLE HOLJ]ER: _ Not Applicable
BONNNGa COMPANY,
-._Not Applicable
(Name _ Na me; _ .... I
Acid re55- Add ress; _.
City., City:
zip: Phone; Zip: Phone:
OWNEFtl CO NTRACTOR AFFI T: Application i5 hereby made to obtain .8 permit to do the wror k and instal lation as indleated.
I certify that na watk or Irutallawn has rommdmc*d prior to the issu snCe of a permit.
$t_ Lucie Countma k no representation that 4s granting a permit ,s,ll authorize the "rm IT holder too bui;d the subvect structure
which i� iri cpn ict with any a0plitahle Home Ownerrs A%ociatron rules, bylaws K)r and mvenarvts th$k rri afrestrict or prohibit Such
structure. Please consult wrath your Nome Owners Asw6ation 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 accordaxe with the appraVed plans the F lorida B41ding fides and St. Lucie- ntyr Am -end merits.
The fallovA ng build irig pefmd a pprirati-DM are exempt from undergpl ng a full concureerKv review: room ad(Jixi)nsr
a cce5SOry structures, swjmm ink; 1wol s, fences, walls, s*ns, scfeen rooms and acoe5sory uses tv anoth-er non-feside nt ial use
WARN INO TO OIL N E R= You r fa iiure to Recurd a Notices. of Commencement may resutt in payrinig Mice fur
i rn prowQ!m entS to you r proparty_ A N of ice Of Com mencem en# m ust be repo rde d rrti the pu blic record r. of St.
Luci a Cou My a rid posted on t he iobsite before the first i rrspection, If Yoti Inters d to obta i r5 fi naming, consult
with lender or pr< attorn-ebefore com rn enci n work or rec€rrdin you r N of ice of Comrnen rte me nt. �
of
STATE OF FLORI �
COUNTY OF _
Agent for owner
w to { or affirmed f and subscribed before me of
Mphyrsical Presence or Online Notarization
this . _ dog of _ . M20 try
Name of person
Personality Known OR Produced Iderrdfi rLD I_
Tyrpe rf I�ientifiration _ r,
Pr used
ri
I lignature of Notdv Pu ic- state of Florida }
i
Commission No,LV) 6� [deal] 4
Signature of Cantrartor
STATE OF FLORIDA
COUNTY OF
Swc to Lor affirmed) and subscribed titre me of
PhysocaG Precence or Onl irtil!� Notarization
'this _ day of 2S20 bw
flarne of Persflr« � l
Pre Wrial IV Knowmakl _ QFt'Produced tdrrll? rat R
Typeof ldaritlflodtion
produced
[Sign;Ritu re of No Public, Sute of Flarida I F�
r
Commission No. I ( (5ea M •
REV If VAS KfIONT ZONING ! tU PERVISOR PLANS YEG ETATiCI N Sf A TURTLE MANGROVE
COUNTER REVIEW REVIEW RFVi-EW REV I�VV REVIEW REVIEW
GATE
RECEIVED
DATA I
COMPLETE Ell