HomeMy WebLinkAboutBuilding Permit application - 6006 Petticaot PlaceAl I APIPLICAR LE IN FO MU 5T bE COMPLETEE) F OR AP PLI CATION TO BE ACCERTED
Date: 1-26-2021
5T, U C I E
COUNT
f L o R i D 14 Building Permit
Permit Number:
PJa"ino Dnd Devefopment5erw+Ces
.quiWffr ? Ond Code Rppulatio,n DM5 0� Co F[ Y�71 � IB I S I f1 Id I `
.2-300 lfrjV0nd3 Avenue, Fort Piero Ft 34982
Phone; 17721462-155d Fax; �77�t1 4152-1578
PERMIT APPLICATION FOR, RE ROOF
PR9POSED I MPROVEMENT LOCATION;
Address: f) Petticoat F L
Property Tax I D If;
Site Plan Name:
Project Name.
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLE ROOF
Ii STALL PEEL & S1ICK F L2569
INSTALL SDIINOLE FL10674
Lot No.4
flock Nam. K
INSTALL RID EVENT N OA 19-1217
1Y.aw Electrica I Meter .. second Eleckriral Meter
CON;TRUCTION INFORMATION:
Addgtlonal.work to b�e pe rtornned under thIS perm it —{heck all that apply:
P .echanIcaI
Electric
i5a5 Ta nk
Plumbing
Gas Piping
5pri n kler5
Total Sq- Ft of Cunstructi=-. 1,972
Cost of Canstructkon_ $ 10:500 _
OWNER/LESSEE:
_ Shutte rs J :'di ndowsf Doors _ Pond
Generator �/,- Roof 5/12 _ PitC4
S Ft of First Flom- 1,972
D- .
UtI.Rtles: _Sewer Septic
Name #Caren WDIko-WSM
Address_ 6006 Pettit PL
City: r-OAT PIERCE State-.
ZI p C& le-. 34962 _ Fax; --
Phone ND.
5111 In fee simpkE Title Holdev on rigxt pale I If different
f r%om the Own4e r listed a bow4aI
CONTRACTOR:
Name- ROLAND WILEY
Building Height: 8 FT
Company: SHORELINE ROOFING
Addrem-. 1973 SW GLE N DALE STR E ET —
Ckty: PORT ST LUC I E State- FL
Zip cocle: 34987 Fax:
Phone Nv 7722609565 E-mail SHO F1 ELINE ROOFING @RYA HOO_C;ONI
State a r COUntyr License C GG 1 :331170
If value of ccastruC#Ion Is 2sm cr n1r0le, a RECORDED Notio# of Camrrmenoement ks required
If va Iue of HAVC is $7,SDO ar mvre, a RECORDED Notre of Commencemrtnt Is requiFei,
I
SIJ P P LEM ETAL CONSTRUCT 10 N LI E N LAIN I N FORMATI0 N:
DESIGNER/ EN;INE;ER: Not Applicable
Name;
Addre.ss: —
City: , _T St at e-
Zip; _ phone
FEE SIMPLE TITLE ROLDER: — N of App I ica bie
Na m-e;
Address;
City, _
Zip; phunp:
MORTGAGE COMPANY: ANY: _ Not APPI i rabl e
N.a me:
Address
City- State:
Zip: Phone:
SONOING COMPANY; Not Applicable
Name;
Adidress-
<:f ty ._
dip; Phone
OWN ERf CONTRACTOR AFF I p)VIT: Appli cafJon iS hereby* madle to obtain a pgrm+t to da the work a nd instal lation 09 indicated,
I cerOfy that no work of install imun has tommenced prior to the essuanoe of 8 permit-
St- Lucie County makes no reprt *e1ntati.Dn that as granting a permit will auth-orize theECK
rmlt holder to IpuYd tihe subject structure
which Is in coict with any apple cable FIpYY* Owners A%oc-43 ion ruLes, byl-Aws or anw nark that mw restrict flr prohibit ! +urh
structure. Ptease consult with your Horde Owners AssoOa Fon and review your deed anyrestri tkms which may* apply*.
Ln consideration of the grating cf this req nested permit* I do her-eby agme that I will, in al I respects, pey-form the work
in acoordarhCe with bw approved plans, the Flcwi da Building Odes and St. Lucie County* Amendmer+m
The followi ng buildirIS permit applications are exem pk from undergoi ng 3 Fu 11 canourrenCy rewiew: r-DoM Iddltic'm
accesso-ry structures} sviAmming pools, fences, w2dl1 , signs, scrc-en roams and accessQrV uses to a"Vher nom-re5idential use
WARNING T4 OWN ER: You r fa I Iti re to Remrd a Notice of Commenremer5t may resu It in payrf M1R twice fOr
im provemen15 to yoU r pfo pe". A Notice of Com m enc emen t must be record ad i n th e p uh I is recocds of St.
Luci a C-O+U My and posted on the jobsite before the fi rst I ns pect ion. 1 f yro u i me nd to o btain fin a rwC+gig. consu It
with lender or -an attorrre before c-Mffie�si.rlx work of fecgrd i rrg you r N Lice of Cam mencenn ent. ..
4A Al � JR ARI U JAW --
Sr natur4ofw1nerl tesset�{ actor as Agent f-or Owner ignature of Contra rfticense I r
STATE OF FLORID STATE OF rLO R
COU NTY OF_ # #� _ COUNTY OF _'Ls�� -- — i
5 rn to (or affirm0) and subs{ribcd be4ore me of
P sical Pr a 13r Ottiilne N arixation
#hi ,day+ of by
Name of Person making tatrtit. h 3
P.trwnatly !Known0 R Prod uoed IdentIMMI
'type of Iden"cadfln
Producers
_rftrlr�j � '"CW
(Signature of N a Public- S#at& of F Iorida f fie
4
Cpmmissiflrr No, J �
Sw -o Or affWmedl and sAscri bed before Yne i f
ica I Prese ce oQ Online Not�ri=Wn
th is yr of} Fl Ozt� by
R�IWD r mr
n
Name of person making star nt. 4
Personally Known OR Pruduov d I<Jer4tlficalhrE`'33 s
�
Typia of Id..-ntifi cation A
Produced mbya
+�+
i t
Isigrlature of NtP Public, $tate of flvrida
Cc m134+on fao_ L7 (Seal 1
REVFE','�rS FRONT ZOO I NG $V P ERVISOR P �kNS VEG STATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEVd REVIEW RE
REVIEW REVIEW
DATE
RECEIVED _
DATk
COMPLETED