HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/02/2021 Permit Number:
2 J I ,
V , L Building 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: 5903 Birch Dr, Fort Pierce, FL 34982
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/Doors _Pond
—Electric —Plumbing Sprinklers —Generator _Roof 4112 Pitch
Total Sq. Ft of Construction: 40.33 5q Sq. Ft. of First Floor: NIA
Cost of Construction: $ 21,050.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name3esse Burford Name: Christopher Collins
Address:5903 Birch Dr., Company:Collins Roofing Inc.
City: Fort Pierce FL State:_ Address: PO Box 12867
Zip Code: 34982 Fax: NIA City: Fort Pierce State: FL
Phone No.NIA Zip Code: 34979 Fax: NIA
E-Mail:NIA Phone No 772-940-8607
Fill in fee simple Title Holder on next page(if different E-Mail collinsroofinginc®g mail,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.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: =Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip; Phone-
FEE SIMPLE TITLE HOLDER: =Nat Applicable BONDING COMPANY: 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 an 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 rntendto obtain financing,consult
with lender or an attorney before commencing work or recording our Notic f Comrhencement.
l
e of GLwrw/Lessee/Contractor as Agent for Owner Signature of Contractor/L older
STATE OF FLORIDA STATE OF FLORIDA �
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COUNTY OF COUNTY OF z e-
�Swor o(or affirmed)and subscribed before me of Sworn affirmed)and subscribed before me of
tr ysical Presence or Online Notarization ysical Presence or Online Notarization
this day of fY�'ia ,2020 by this day of 202{y by
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Na of person making stpttment. Name of person making statement.
Personalty Known OR Produced Identification Personally Known L"�OR Produced Identification
Type of identification Type of Identification
P Produced
{Sigmatu No ubfic Stated Florida
on {Signature
Comma i No. {Seal) Commi ion No ' Z (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/6120