HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Y LLL
` M 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. 3294 Hatcher StFort Pierce, FL 34981
Property Tax ID p: 2429-601-0010-000-1 Lot No.10,11 & 12
Site Plan Name: NIA Block No. 1
Project Name. 3294 Hatcher St
DETAILED DESCRIPTION OF WORK:
We will tear off the Pwsting torch appiied hftumnn roofing system dawn to the wood deck We will now off the deck to the
the current code. Install the self-adhesive base material and install all necessary flashings. Install the torch applied white granulenzed
bitumen rooled roofing system
New Electrical Meter NIA Second Electrical MeterNIA
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
Total Sq. Ft of Construction: 3400
Cost of Construction: S 22,400,00
Sprinklers
Generator Roof 112112
Sq, Ft. of First Floor: NIA
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
Name Michael A Cupoli�
Address: 3294 Hatcher St
City: Fort Pierce FL State: _
Zip Code: 34981 Fax: NIA
Phone No. NIA
E-Mall; NIA -
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
P itch
CONTRACTOR:
Name: Christopher Collins
Company: Collins Roofing Inc.
Address: PO Box 12867
City: Fnrl Pierce State: FL
Zip Code: 34919 Lax: NIA
Phone No 772-940-8601
E-Mail collinsroofinginccA)gniml 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 $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY:
x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit wilt authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following b Ing perm applications �Re
mpt from undergoing a full concurre r�vfevw�oom additions,
accessory s ctures, swim ng po enceIls, signs, screen rooms and acts ry uses to anot r non -re a
WARNIING TO OWN R llo" ru failure toord a Notice of Commen ment may result in g�r Ice for
uhprovement o y$ur property. A Notice of Commence nt must be r e te'public reco ds of St.
j Lucie Coun apd posted�grythe johsite before the first i perCion. 1f to t oobtain fi. ncir�, consult
with lend ti attoy�iQGSt efgfe commencing work recording of Net' of ommeiicement.
�l.
S L ractor as Agent for Owner
nat c of ract&luer
STATE OF FLORID l
STATE OF FLORIDA
COUNTY OF �"U Itl Pi
COUNTY OF
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STuo; to (or affirmed) and subscribed before me of
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Name of person king statement-
Name of per'soA making statement.
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Personally Known OR Produced Identification
Type of Identifi ton
Type of Identification
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Rev. 5/b/Z0