HomeMy WebLinkAboutREROOF PERMIT APPLICATION - 6019 PETTICOAT PLACEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date, 3-16-2021 Permit Number:
ST.
MWOMW
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Port Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE ROOF
I PROPOSED IMPROVEMENT LOCATION:
Address: 6019 Petticoat PL FORT PIERCE
Property Tax ID #: 3410-503-0333-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLE
INSTALL PEEL & STICK FL2569
INSTALL SHINGLE FL10674
Residential X
Lot No. 33
Block No. K
INSTALL RIDGEVENT NOA No. 19-1217.03
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical , Gas Tank —Gas Piping
Electric — Plumbing
Total Sq. Ft of Construction: 2,487
Cost of Construction: $ 10,000
Sprinklers
_ Shutters —Windows/Doors Pond
Generator v Roof- Pitch
Sq. Ft. of First Floor: 2,487
Utilities: Sewer —Septic Building Height: 8 FT
OWNER/LESSEE:
Name Carol Strericejewski
Address: 6019 Petticoat PE _
City: FT PIERCE State:;'
Zip Code: 34982 Fax:
Dhnna Nn
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: ROLAND WILEY
Company: SHORELINE ROOFING
erMr.,.-1973 SW GLENDALE STREET
City: PORT ST LUCIE State: FL
zip Code: 34987 Fax:
Phnnp Ain 772-260-9565
E-Mail SHORELINEROOFING @ YAHOO .COM
State or County License CCC1331170
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: Not 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 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 con currency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencine work or recording your Notice of Commencement.
'At'o
Signaturtur Owner/ Lessee/Contrwor as Agent for Owner
Signature of Contractor/Licensd Molder
STATE OF FLORID
1a)"
STATE OF FLORIDA r.-a
COUNTY OF u
COUNTY OF
Swot to (or affirmed) and subscribed before me of
r'
Swo'c4 to (or affirmed) and subscribed before me of
Physical Pre. ce or Online Notarizeion
this}� day of i - _ 2+3�� b�
Physical Prese a or Online Notarizati(Ln
this ; rday of i 2021by �_
Name of person making statement a
Name of person making st-atemet t. o
Personally Known OR Produced Iderift for
Personally Known f OR Produced Identifi&&&& 03 ^
Type of Identification "
Type of Identification n
Prc4uced .rod
Produced _ r
(Signature of ry Public- State of Florida i .
(Signature of 1`920ry Public- State of Florida
(SC
Commission No. �' -' A-) (Seal)
Commission No. ! (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
HATE
RECEIVED
DATE
COMPLETED
Rev.
ST. LUCIE
Section A (General Information)
Master Permit No. Process No.
Contractors Nam
L cqe se #
r i �job Addres.
❑ Low Slope
Asphaltic Shingles
❑ New roof ❑ Repair
Low Slope Roof Area (SF)
ROOF CATEGORY
0 Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
❑ Metal Panel/Shingles ❑Wood Shingles/Shakes
p Prescriptive BUR-RAS 150
ROOF ROOF TYPE.
❑ Maintenance Reroofing
ROOF SYSTEM INFORMATIO
Steep Sloped Roof Area (SF)
D Recovering
Total (SF) rD �-1
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains.
Include dimensions of sections and levels, clearly identify dimensions of elevated pressure tones and location of parapets.
NEI
MIN
FBI
ST. LUCIE
Section D (Steep Slope Roof System)
Raof System Manufacturer:
Notice of Acceptance Number:
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
Zone 1: Zone 2e:one 2n: one 2r:one 3e: Zone 3r:
Deck Type:
Type Underlayment
Roc[:5iope:
insuiarxon:
Fire Barrier:
Ridge Ventifatiofti? Fastener Type &Spacing:
Adhesive Type:
�Height:"�
Type Cap Sheet
Raof Govering:
Type & Size Drip a C�
Edge:
c C��