HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t u �}
Date: �� 1 Permit Number: 1 �I O l —o `a3
FtECEI'.'�17 APR2J7_0170 Mai
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Yes
PERMIT APPLICATION FOR: Roof
PROPOSED, IMPROVEMENT LOCATION-
7
Address: 9, 201 ��A�� C'I\1C.�, P\Cafoe_
Legal Description: ffa.tCl n V�Nvo_"'� tiAn t± CI — (1)1LL 7 U- 3 I
Property Tax ID#:."i"f���"112bf�1''" "r�l'(Jl �' I Lot No. i .
Site Plan Name: N/a Block No. y
Project Name: N/a
N/a N/a N/a N/a
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
We y1ll tear off the existing roofing down to the plywood, Re -nail the deck to the current code and Re -roof y�
CONSTRUCTION .INFORMATION:
Additional work to be performed under this permit — check all tb3J apply:
11HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: �Cc) S . Ft. of First Floor: N/a
Cost of Construction: $_riw. �, . Utilities: LJ Sewer F—] Septic Building Height: N/a
OWNER/LESSEE:
CONTRACTOR:
Name _
Name: Christopher Collins
Address: % .% ? i 01
Company: Collins Roofing Inc
Address: PO Box 12867
City: - ° State: la-
�' ' t"' 1 N/a
Zip Code: ; ���� p L Fax:
Phone No. N/a
Fort Pierce FL
City: State:
Zip Code: 34979 Fax: 772-489-6505
Phone No. 772-201-1352 or 772940-8607
E-Mail: N/a
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 of construction is $2500 or more, a RECORDED Notice of Commencement is required.
[SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNS
Name: _
Address:
City: _
Zip:
NGINEER: d_ Not Applicable
Phone:
State:
FEE SIMPLE TITLE HOLDER: d_ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
d_ Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 permit applications are exempt from undergoing a full concurrenc w: room additions,
accessory struc s, swi mi ools, fen , walls, signs, screen rooms and acce y uses to Not on-resi ntial use
WARNI TO OWN :Your failure to Record a Notice of Comm ement may r t in your paying twice for
impr ements to property. A N ice of Commenceme must be recor ed d posted on he jobsite
bef re the first ' ction. If you ' nd to obtain financin , consult wit de or an a before
c mencinR r recordi r Notice of Commen ment.
re of Owner/ Lessee/Agent
H
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,!;I- Z-,r,,'e COUNTY OF /—,r c, e
The forgoing instrujent was acknowledged before me
this day of � h vti 20 IZby
2L1� -4,
(Name of person acknowledging )
0 4-
(Signature dWofary Public- State of Florida) /
Personally Known OR Produced Identification J
Type of Identification Produced �--
CommissU311%
c,= No ar�lic - Statgg ��orlda ;_
..,�,tcslnn # FF 221708
my Comm. rApl , ..._, Assn.
RnndedthroughNaMnalNotary r.
The forgoing instrument was acknowledged before me
this -<�b day of An ic. 1 20 t) by
(Name of per on acknowledging) j
(Signature of(dotafy Public- State of Florida )
Personally Known OR
Type of IdentificatiornP?od�
Commission No. ; '_° n`'° Notary PublliS of Florida
-• a •_ ommissloh #7W221708
My Comm. Expires May 10, 2019
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