HomeMy WebLinkAbout4604 Palmetto Dr Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: 4604 Palmetto Dr., Fort Pierce, FL 34982
Property Tax ID 4: 3402-605-0046-000-4
Site Plan Name: NIA
Lot No. 23
Block No. 34
Project Name: 4604 Palmetto Dr
DETAILED DESCRIPTION OF WORK:
We will tear off the existing shingle roof down to the wood deck. Nail the deck off to the current code. Install a high temp
self adhesive underlayment and all necessary flashings. Install a 26 gauge 5V 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
Total Sq. Ft of Construction: 4000 Sq Fr / 40 Sq
Generator Roof 4112 Pitch
Sq. Ft. of First Floor: N/A
Cost of Construction: $ 27,000.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Donald R Erb & Maureen P Erb
Name: Christopher Collins
Address;4604 Palmetto Dr
Company:Collins Roofing Inc.
City: Fort Pierce FL State:
Zip Code: 34982 Fax- NIA
Phone No. NIA
E-Mail: NIA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address: PO Box 12867
City. Fort Pierce State: FL
Zip Code: 34979 Fax: N/A
Phone No 772-940-8607
E-Mail collinsroofinginc@gmail.com
State or County License CCC-058011
If value of construction is i�uu or more, a ntLUKUW Notice or 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: r Not Applicable
Name:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Pho
Not Applicable
State:
x Not Applicable
OWNER/ CONTRACTOR AFFIDVI T: 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 consWeration 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 concvrrericy review: room additions,
accessory str ?es, swimming pools, fences, walls, signs, screen rooms and accessory �r!
-a�tltn,
h r non-resdfe� ial use
WAR G TO O Your failure to Record a Notice of Commencementuaging twice r
provem s to your property. A Notice of Commencement mus be recorde in the public ecords of St.
Lucie Co n posted orb j site before the f rst ins ect�iio�If inte obtain fina tin consult
with I ryi�ttout�r b commencinR wrark or reco[dfhrt yr Nolt a of Commence ent.
Sig a or -owner/ tefsee/Contractor as Agent for Own r
a re o ntra older
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF `
COUNTY OF
Swor o (or affirmed) and subscribed before me of
Swor (or affirmed) and subscribed before me of
_ P al Presence or—� Online Notarization
this "of 02so 2021 by
Ph s' I Presence or Online Notarization
this nJg#=
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[tlrr�aX4 rejflas
ay of JA 2021 by
Name of person ma Ing statement.
Name of'persorimaking statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification 1--�
Type of Identification
Type of Identification
Produced
Produced (—
(Sig Lure of Notary Public- St Florida) Rebekah Hoy
(Signature of Notary Public- Stat of orida )
NOTARY PURL
STATE OF FLO
Commission No Qit*
cp Rebekah Hoy
IDAmmi55ion NOTARY PLIKI
CmirngGG294
10 ESTATE OF FLOP
xpires 17/
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20