HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.
Permit Number:
L Building l�P Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re Roof
PROPOSED IMPROVEMENT LOCATION,
Address: 5712 Raintree Trl., Fort Pierce FL 34982
Property Tax ID #: 3402-610-0154-000-0
Site Plan Name- NIA
x
Lot No. 09
Block No
Project Name: Ramtree Tri Back bldg
DETAILED DESCRIPTION OF WORK;
E
This permit is for the back building We will rear off the existing asphalt shingle root dawn to the wood deck..
We will nail the deck off to the current code Install a self-adhesive high temp underlayment along with all flashings
Install self adhesive rolled bituman an the low slop area and a 5-V 26 Ga Metal roofing system on the rest.
New Electrical Meter NIA 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 _ Sprinklers
Total Sq. Ft of Construction: 10 sq & 4 sq Flat
Cost of Construction: $ 18.720,00
Generator _ Roof 4/12 & 1112 Pitch
Sq. Ft. of First Floor. NIA
Utilities: —Sewer —septic Building Height: N/A
OWNER/LESSEE:
CONTRACTOR:
Name Lisa M Dickinson
Name: Christopher Collins
Address:5712 Ramtree Trl , Fort Pierce FL 34982
Corn pany: Collins Roofing Inc
City, State:
Zip Code- 34982 Fax: NIA
Phone No. NIA
E-Mail: NIA
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code. 34979 Fax: NIA
Phone No 772-940-8607
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail collfnsroafirig incf gmail com
State or County License CCC-058011
If value of construction is Z500 or more, a RECORDED Notice of Commencement Is required.
If value of HAVC is $7,5150 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
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: » 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.
St. Lucie County makes no representation that is granting a permit witl 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 meth 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 permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structu ing pools, al Is, signs, screen rooms and acce uSes-to.another non-residential use
WARNING"11 OWNER: ffailure to Recor a Notice of Comm ement may resul in pa r
improvements to y�6 r property. A Noti a of Commence ent must be record ' the public r cords of St.
Lucie County a p sted on the jobsite efore the firs nspection. If �e d to o ain finan ing, consult
with lender tt ne be co mencin wor or recordin ti of wmmence nt.
Signature of Owner/ Lessee ontractor as Agent for Owner
ig a of C tracto er
STATE OF FLORIDA t II
STATE OF FLORIDA 11
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COUNTY OF r I t -QJ -
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COUNTY OF 7` I,Lc Ll
Sw to (or affirmed) and subscribed before me of
Swo pto (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
✓ Physical Presence or Online Notarization
_
this day of 2020 by
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this day of S 14-in 2020 by
Na a of person akin statement.
Name of person makingement.
Personally Known OR Produced Identification
Personally Known R Produced Identification
Type of Identification
ype of Identification
pr ed CASEr rRENCH
roduced CASEY FREND
Notary Public -Slain of F Cni'
Cornrnjwon M GG 167241
Corm EKprres Dec 11 X
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CommMsion K GG It r
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Commission o.C26WL5K (Seal)
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