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HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: L uMLIL 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: D 1 L x Property Tax ID q: _-.5-4o - C.A 09 -- Cr14)2 S 7 -I _ Lot No..Z] 4-2�i Site Plan Name: NIA Block No. 54 Project Name: _rF,) r_-:5(7 I 11 Y r T DETAILED DESCRIPTION OF WORK, u r2 -ew New Electrical Meter NIA Second Electrical CONSTRUCTION INFORMATION: i Additional work to be performed under this permit -check all that apply. Mechanical _ Gas Tank , Gas Piping _ Shutters ___- Windows/Doors Pond Electric _ Plumbing rr ff''-- _AS�prinkle �s--j T Generator _Roof Total Sq. Ft of Construction: 33 `-& !Yi a I Fla_ Sq. Ft. of First Floor: NIA Cost of Construction: $ L5_0 3M -w Utilities: —Sewer —Septic 12 Pitch z/ z Building Height: OWNER/LESSEE: CONTRACTOR: Name —_— _____ Name: Christopher Collins Address: Company:Colhns Roofing Inc City: State: , Address: PO Box 12867 City: Fort Pierce State: FL Zip Code: Fax: Phone No. Zip Code: 34979 Fax: NIA E-Mail: &Z Phone No 772-940-8607 E-Mail collmsroofinginc@gmaii.com Fill In fee slm a Title Holder on next page (if different State or County License CCC-05B011 from the Owner listed above) 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 CONSTRUCTi©N LIEN LAW INFORMATION ©ESIG—NE R/ENGIlVEER. hi Ap Ica ip Address: City: State 7�..ip Phone FETE SIMPLE TITLE HOLDER: x Not Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not A g__._. Name: -- Address: City: State Zip: Phone: BONDING COMPANY: Name: Address: City: 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 permm lications are exempt from undergoing a full conasrren ew: room additions, accessory structur swimming p o 49"tes, walls, igns, screen rooms and accce uses to nother aa-ses ntial use WARNING OWNER failure to Reco a Notice of Comme meat mazy re in paying twice impr ements t oupproperty. A Nice of Commence nt must be r grded4rrt,he public tecords of St. Lu a Coun d pp edyp the jo Ite before the first ipfspection. If y intepd to obtain financing, consult ith tend r a oFne befo commencing work of records v r DxAtite of Commerl¢�ment. n er/ as Agent for Owner C tractor License Holder leJContractor STATE OF FLORIDAz f STATE OF FLORIDA COUNTY OF `��{ (t, /- � COUNTY OF Swgm to (or affirmed) and subscribed before me of al Pre ce or Online No rization Swor o for affirmed) and subscribed before me of steal Pr ce or Online No nzation of fly this ay f[ ` 20 by �0 l / 4Np'crson r making statement Name of person making statement. Personally Knowlk OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (Signatur at 2= Florida I Commission r ""'x ' 8ELINDA DARDEIjSeal) i" °, BELINDApAR�4 l Commissi "' N Pic - State MI Flons� I I - Slate of raeda CanmessiorfCG'GM1;5r`MyCommFNp,�s[t1B.2L12' amxsswn a GG 159025 .... �s t h�ib ni.Nrn,�y PS§rl - rxxw! nary Wen REVIEWS UPERVISOR PLANS VEGETATION S A R L MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 516/20