HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
97"Luce
" - � ` `;� Building pp 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: 5603 Myrtle Dr., Fort Pierce FL 34982
Property Taxi[)# 3402-609-0095-000-4 Lot No.37&38
Site Plan Name: NIA Block No, 54
Project Name: 5603 Myrtle
DETAILED DESCRIPTION OF WORK:
We will tear off the existing asphalt shingle roof down to the wood deck. We will now off the decking to the current code
We will install a self-adhesive high temp underlayment and secure all perimeter(lashings and root flash;ngs. Install a new
26 Ga SV metal 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 _Windows/Doors Pond
Electric _Plumbing _Sprinklers _Generator _Roof 4/12 Pitch
Total Sq- Ft of Construction: 2400124 Sq Sq. Ft.of First Floor: NIA
Cost of Construction. $ 10,780 00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Rickey E Workman&Mary K Workman Name: Christopher Collins
Address:5603 Myrtle DrFort Pierce, FL 34982 Company:Collins Roofing Inc.
City: Fort Pierce FL State:_ Address PO Box 12867
Zip Code: 34982 Fax: City: Fort Pierce State: FL
Phone No. N/A Zip Code: 34979 Fax, N/A
E-Mail: N/A Phone No 772-940-8607
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-05B011
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _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.
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 concurrency review:room additions,
accessory stru res„�wirnming pools fences,walls,signs,screen rooms and accesso uses to another non-residential use
WAR G TO OW -Your failure o Record a Notice of Comm ement may re It yinR twice for
proveme o your property A Notice of Commenc ent must be rec ed in the public reco ds of St.
ucie Co a d posted jobsite before the firs Inspection.If y t nd to obtain financin , consult
with le o an be re commencing wor or recording o ice o menc e
caner Lessee/Contractor as Agent for Owner igna of C ract nse Holder
STATE OF FLORIDA, STATE OF FLORIDA
COUNTY OF COUNTY OF
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V Physical Presence or Online Notarization - Physical Pre ence or Online Notarization
this day of �F�O_ _ 202t by this day of Fel b 2026 by
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Name of peIrson making statement. Name of perso making statement.
Personally Known : OR Produced Identification Personally Known V I OR Produced Identification
Type of Identification Type of Identification
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
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