HomeMy WebLinkAboutmyers_malcolm_-_building_permit_application.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/28121 Permit Number:
4V. LULLL�
r> 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 TILE TO TILE
PROPOSED IMPROVEMENT LOCATION:
Address: 13013 Harbour Ridge Boulevard Palm City, FL 34990
Property Tax ID f1: 4426-830-0023-000-6 Lot No.
Site Plan Name: Block No.
Project Name: MYERS RESIDENCE
DETAILED DESCRIPTION OF WORK:
RE -ROOF TILE TO TILE. REMOVE EXISTING TILE ROOF DOWN TO SHEATHING AND RENAL TO CODE. INSTALL POLYGLASS TN MAX GNDERLAYMENT TO
DECK TO CODE AND MANUF. SPECS. INSTALL METAL RIDGE BOARD FOR PROPER ATTACHMENT OF HIP AND RIDGE. INSTALL ONE MWMbWDE
APPROVED IMPACT RESISTANT SKYLIGHT TO CODE AND MANUF.SPECS. INSTAL BORAl ESTATE S AND FASTEN TO COGS USING A 100 POLYFOAM ADHESIVE PER MANI SPEC
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 _Shutters —Windows/Doom _Pond
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: 1756 Sq. Ft. of First Floor: 1756
Cost of Construction: $ 28600 Utilities: —Sewer _Septic Building Height: 5112
OWNER/LESSEE:
CONTRACTOR:
Name MYERS, MALCOM
Name:JOSEPH KOLINOSKI
Address: 13013 HARBOUR RIDGE BLVD
Company:ONSHORE ROOFING
City: PALM CITY State: Ja,
Zip Code: 34990 Fax:
Phone No. (772) 336-0074
Address:5670 SE GROUPER AVE
City: STUART State: FL
Zip Code: 34997 Fax: �—
Phone N0772-283-1505
E-Mail: malmyem@mac.com
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail CHERI@ONSHOREROOFING.COM
State or County LicenseCCC1328994
If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required.
If value of NAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not A 'cable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HO ER: _ Not Applicable
BONDING COMPAN . 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 concurrency 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 vour Notice of Commencement.
014 f411- V.
Signature Owner/ Less Agent for Owner
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Signature Con Holder
of a antra r as
o aclorf0cense
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFi
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or _ Online Notarization
this day of 2020 by
this day of 2020 by
me. 0 1,912 malt ement.
Name of person makin sta mpn+,
Personally npW" ,"" 0I+9 S W. STEVENS
2�mm �Fowswentificati n
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Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/672u