HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.
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v ' ` 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) 462-1S78
PERMIT APPLICATION FOR: Re Roof
PROPOSED IMPROVEMENT LOCATION:
Address. 5211 Silver Oak Dr., Fort Pierre FL 34982
Property Tax I D #: 3402-606-0114-000-5 Lot No. Part 46 au 47
Site Plan Name: NIA Block No. 24
Project Name: Silver Oak
DETAILED DESCRIPTION OF WORK:
We will tear off the existing asphalt shingle roof down to the wood deck.
We will nail the deck off to the current code. Install a self-adhesive underlayment along with all ffashings.
Install a new dimensional asphalt shingle roofing system.
New Electrical Meter NIA Second Electrical MeterNIA
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _Sprinklers
Total Sq. Ft of Construction: 2100
Cost of Construction: $ 8,850-00
Generator
Windows/Doors _ Pond
Sq. Ft. of First Floor: NIA
Roof 4112 Pitch
Utilities: Sewer _septic Building Height: NIA
OWNERAESSEE:
!CONTRACTOR:
Name Romy Hayward & Wayne Hayward
Name: Christopher Collins
Address:5211 Silver Oak Dr , Fort Pierce FL 34982
Company: Collins Roofing Inc.
City: State:
Zip Code: 34982 Fax: NIA
Phone No, WA
E-Mail_ NIA
Address. PO Box 12867
City: Fort Fierce State: FL
Zip Code: 34979 Fax: N/A
Phone No 772-940-8607
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail collinsroofinginc@gmail.com
State or County License CCC-058011
If value at construction is Z5UU or more, a Ktt:URDtD Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Add re:
City: _
Zip: —
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State
x Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address. -
City:
Zip: Phone.
State:
BONDING COMPANY:
Name:
x Not Applicable
Address:
City:
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.
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 following building per.mit applications are exempt from undergoing a full concurrency review: room additions,
accessory �strutlures, swim g pools, fences, wails, signs, screen rooms and accessory -uses to an er non-resident4al use
WARNING TO OWNER: Y ui failure to ecord a Notice of Commencement may re,9 t in aying twice fo'
improvements yo r property. A otce of Commencement must be &orded n the public r cords of St.
Lucie County, stecon the job ite before the firstspection. If�rr� obtn finar�cmg, consult
with lende�4r ttosr�ev before dommencing work of recording v�tir of �erfimencepSent.
Signature of wner Contractor as Agent fur Owner
5igna Contracto'o nse Holder
STATE OF FLORIDA
STATE OF
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Sw/7m to (or affirmed) and subscribed before me of
Swgrito for affirmed) and subscribed before me of
Physical Prnce or Online Notarization
es
Physical Presenc or Online Notarization
this�day of 202t by
this day of 2020 by
Name of person making s ement.
tement.
Name of person mak7OR
Personally Known OR Produced Identification
Persona€ly Known Produced Identification
Type of Identification
Type of Identification
Pro uced
Produced
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Expms Dec 11 7021
Commission No. L(Seafj,..,,
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7 p� -- " �ssion M 75,9
Commission No- Z D �5�alj rKr e r c
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/ZO