HomeMy WebLinkAboutBuilding Permit Application 6
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:
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No Building Permit Application OCT 0 5 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
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:
Address: M��� �� • �� `-
Legal Description: 5I 101. IN '4'
76
PropertyTax I #: �, ��� � 0 �" � Lot No.
Site Plan Name: N/a Block No.
Project Name: N/a
Setbacks Front N/a Back: N/a Right Side: N/a Left Side: N/a
',DETAILED DESCRIPTION OF WORK:
We will tear off the existing,roofing down to the plywood, Re-nail the deck to the current code and Re-roof.,
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'CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—c ec a apply:
L_11HVAC _I Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor: N/a
Cost of Construction:$ 1�0,0l/. Utilities:,n Sewer F1 Septic Building Height: N/a
OWNER/LESSEE: CONTRACTOR:
Name I t 9A"" Name: Christopher Collins
Address: ?J�0 Company: Collins Roofing Inc
city: `� State: Address: PO Box 12867
Zip Code: 3 "571 Fax:N/a City: Fort Pierce State:FL
Phone No.N/a Zip Code: 34979 Fax: 772-489-6505
E-Mail:N/a Phone No. 772-201-1352 or 772940-8607
Fill in fee simple Title Holder on next page(if different E-Mail: Collinsroofinginc@gmail.com
from the Owner listed above) State or County License: CCC-058011-
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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stil MENTAL CQ -STRUCTtON LIEN LAW INFQRMATION
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DESIGNER/ENGINEER;-> +Not Apph b!E" ' MORTGAGE'COMPANY.. ..�_- N 3App(cable
Name Name:
Address
Address
City _ State-:
•
Zip Phone: - p
' State
Phone
FEE SIMPLE TITLE HOLDER �/_Not`p ��_ -,e I30NDINGC'OMPANYc ,F—L
%Name; Name,.
Add"""
City Crty'
Zip. . Phone Zip Phone
I certify=tFiat no woik or installation has commenced prior to the issuance of a perm'
St Lucie Counttyy makes no representation that is granting a permi#will authorize thepermd holder to build the subjec!structure--
which is in con ict'wdh anY:applicable Home Owners Assouatiori rules,bylaws or grid covenants that may restriu or pr olubrt such
strut , re P1-0'se consult with your:Home Owners Association acid r' 'ewyour,deed for any ce qtr oom whxh may apph
lii coruideration of the granting of this°requested permrl t do fiere6y agree that 1 will,in atl respects,petfonii the v�wk
accordance unth;th ove laps,the Florida Building Codes and,St,'Luae.Coun Amendments:
The following ding permit app) exempt from undergomg a ful ncumertcY room ditioi>s
-accessory ' ctures,swimrni is fences Us,signs,screensroamf d acceswry io anotherrto " erttai;use
WAR NG TO OW N :Y r failure to R" rd a Not of mencem m resuk i twke for
im ovements tg u opertw A Not` of Commence ent must riled st on tpe jo- e-
ti` ore ttie first:` ion tf you 'e to obtain fine ng;.con`su en o _ n,a omey before
mmencin ' r�recordin`" ur once of Comm"`ncement. •. - ' `` - ---- _
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STATE OF FLORIDA SfATI:OF FLORID .-
COUNTY:OF ''-� �rG. o COUNTYOF, i�I;Earim.
Thefo oing msorument was adai'o-edged Wfore me, The forgoing instrument was'acknowledgedrbefore me
tins J day,of G�-��lu� 20(�:6y thisdayof d`tip''_ 28_ 6y
(Name;of`person:acknowledging) (Name_of person:adaroKiedging)
:
.(Signature. _o_ry Publrc=State of;Fionda) ,, (� _ Publio-5tate,of Florida'.)`
'Personally Kn n,_ R Prodowili roffEar,
Personally Known t� 4
TOO,-of ides- " `c. - a: of identifirati ,
. Cf1iIiY J ROB
ER_.
'. s Commissfon ,mmission -9 ' coin,.Em( 9 Comrr►ission No - _ Oo 20, t9 NcdryAssn.
Revised47/TS/2014
REVIEWS` -FRONT__ ZONING— SUPERVISOR PLANS VEGETATIoN °':SEATIlRTtE MANGROVE.
COUNTER,, REVIEW REVIEW REVIEW: REVIEW: REVIEW` REVIEW
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DATE
COMPLETE_ ,..
INITIALS
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