HomeMy WebLinkAbout5704 Tangelo Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. Permit Number:
`- LLL L
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial mercial Residential X
2300 Virginia Avenue, Fort Pierce F! 34982
Phone: (772) 462-1553 Fax: (7721462-1578
PERMIT APPLICATION FOR: Re Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5704 Tangelo Dr., Fort Pierce, Ft. 34982
Property Tax ID # . 3402-610-0190-000-4 Lot No. 5
Site Plan Name. N/A Block No. 77
Protect Name: 5704 Tangelo Dr
I DETAILED DESCRIPTION OF WORK:
We will tear off the existing asphault shingle roofing system down to IhP wood deck We will nail off the deck to the
the current code Install a self-adhesive underlayment and all necessary fleshings Install a new dimensional
asphalt shingle roofing system.
New Electrical Meter NIA Second Electrical Meter N/A
CONSTRUCTION INFORMATION: Yu I
Additional work to be performed under this permit— check ail that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors Pond
_ Electric — Plumbing —Sprinklers _ Generator — Roof 4112 Pitch
Total Sq. Ft of Construction: 1600
Cost of Construction $ 8,400 00
Sq. Ft. of First Floor: N/A
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: -
Name Maureen Ashley Pavlick
Name: Christopher Collins
Address:5704 Tangelo Dr
Company:Collms Roofing Inc
City: Fort Pierce FC State: _
Zip Code: 34982 Fax: N/A
Phone No, NIA
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34979 Fax, NIA
Phone No 772-940-8607
E-Mail. NIA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail callinstootinginc@gmail.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: I
Name:
Address:
City. _
Zip:
INEER: x Not Applica
Phone
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:. Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:
Zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Installation as indicated.
f 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 concurrency review- room additions,
accessory struct mlmi fences, walls, signs, screen rooms and acre rl''sJ
nother non-residential use
WARNIN O OW : Ytl ourrffailur to Record a Notice of Comm ement may rIt i9. g for
im oveme s your grope . A Notice of Commenc ent must red:?d in the ublic records of St.
cie Cou y a d post on t jobsite before the firs nspectio o ;nd p-o in fin ncing, consult
ith le an a ney-b ore commencing work r recoygti)i a men ment.
wn see/Contractor as Agent for Owner
Sign C tra or LI Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
SwoLr(to (or affirmed) and subscribed before me of
V P s€cal Pr nc or_OnfineNoyarization
Sworn o (or affirmed) and subscribed before me of
hvical Pres ce r Online No rization
this May of 20W by
this � day of 20 y
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Name of person1making statement.
Name of p rson making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of N
(Signature of Notary Public- State of Florida)
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SUPERVISOR
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MANGROVE
COUNTER
REVIEW
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Rev.576/20