HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S51y, LUCE-
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 109 Hilton Dr., Fort Pierce FL 34946
Property Tax ID #i: 1432-805-0034-000-8 Lot No. 34
Site Plan Name: NIA Block No.
Project Name: Hilton Dr
1 DETAILED DESCRIPTION OF WORK:
E
we will tear off the exrsting asphalt shingle roof down to the wood deck. we will now the deck off to the current code install a self-adhesive
high temp undedayment along with all flashings. Instalf a 5-V 26 Ga Metal roofing system.
New Electrical Meter N/A Second Electrical MeterN/A
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
_ Electric _ Plumbing
Total Sq. Ft of Construction: 1966
Cost of Construction: $ 10,650.00
Sprinklers _ Generator _ Roof 4/12 Pitch
Sq. Ft. of First Floor: NIA
Utilities: __.. Sewer _Septic Building Height: NIA
OWNER/LESSEE:
CONTRACTOR:
Name Robert Lee Golphin & Lucille Golphin
Name: Christopher Collins
Address:109 Hilton Dr., Fort Pierce FL 34946
Company: Collins Roofing Inc.
City: State: _
Zip Code: 34946 Fax: N/A
Phone No. N/A
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34979 Fax: N/A
Phone No 772-940-8607
E-Mail: NIA
Fill in fee simple Title Holder on next page ( if different
from the Owner Ilsted above)
E-Mail collinsroofinginc@gmail,com
State or County License CCC-058011
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
if value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON5TRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
5t. 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 € will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING W our failur to Record a Notice of Commenceln amt y result i�Payir�twlce for
imp emen o vur p�eft
e. A Notice of Commencers Must be re ed in the pV
c records of St.
L Ie Cou and ostedth jobsite before the first in��ection. IfI end to obtainancing, consult
ith len r.6r attomf re Commencin¢ work orhecordIin r tice of Coiszmement.
LZ
r ne L ntractor as Agent for Owner
Si re o tense Ho der
STATE OF FLORIDA
STATE OF FLORIDAj j
UA
C OF �
C-
COUNTY OF T ��
5w n to (or affirmed] and subscribed before me of
Sw rn to (or affirmed) and subscribed before me of
Physical Prese ce or Online N tarization
Physical Presen or Online Notarization
this day, of 202� by
this day of 202� by
i
Name of person making statement.
Name of person making statement.
Personally Known +' OR Produced Identification
Personally Known I,OR Produced Identification
Type of Identification
Type of Identification
Pr uced
Produce
(Sign o ota P lic- State of Flortda i ~"'4 , '
(Signature of Nota o on a
Commissin No . (Sea(]
Commission No
4
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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