HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/02/2021 Permit Number:
CEDE
2 j I
- ',
V , L Building 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: 5903 Birch Dr , Fort Pierce, FL 34982
x
Property Tax ID #: 3402-609-0398-000-8 Lot No.40
Site Plan Name: NIA Block No. 62
Project Name: Birch Dr
[DETAILED DESCRIPTION OF WORK:
We will tear off the existing roofing down to the wood deck. Nail off the deck to the current code. Install a self adhesive
high temp underlayment and all requied (lashings. Install a 5v 26 Ga metal roofing system.
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/Door
— Electric — Plumbing Sprinklers
Total Sq. Ft of Construction: 40.33 5q
Cost of Construction: $ 21,050.00
Generator _ Roof
Sq. Ft. of First Floor: NIA
s _ Pond
4/12 Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name3esse Burford
Name: Christopher Collins
Address:5903 Birch Dr.,
City: Fort Pierce FL State: _
Zip Code: 34982 Fax: NIA
Phone No. NIA
E-Mail: NIA
Company: Collins Roofing Inc.
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 collinsroofinginc®gmail, com
State or County License CCC-058011
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.
SUPPL)*MENTAL CONSTRUCTION LIEN LAW INFORMATION:
DE516NEk/_ENGINEER:
Name:
Address:
City:
Zip: Phone
Not Applicable
State
FEE SIMPLE TITLE HOLDER: = Nat Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: = Not Applicable
Name:
Address:
City: State:
Zip: Phone -
BONDING COMPANY:
Name
Address:
City: -
Zip: Phone:
x Not Applicable
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 structures, swimming pools, fences, walls, signs, screen rooms and accesso ses to another non-residential use
WARNP16 TO OWNER] your failure to Record a Notice of Commen3ethent may result in paying twice for
i provements to your property. A Notice of Commencenwht must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If yoN rntendw obtain financing, consult
with lender or an attorney before commencing work or recording our Notic f Comrhencement,
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e of GLWner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/L older
STATE OF FLORIDA
STATE OF FLORIDA `)
COUNTY OF
COUNTY OF zej i'
�Swor o (or affirmed] and subscribed before me of
t
Sworn r affirmed) and subscribed before me of
ysical Presence or Online Notarization
ysical Presence or Online Notarization
this day of fi a , 2020 by
this day of 202V by
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Na of person making StAttment.
Name of person making statement.
�OR
Personalty Known OR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
pnDd
Produced
(Signatupi No ub4c7 Stated Florida
{Signature
Commi ion No. � (Seal)
Commi ion No Z (Seall
7
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 576720