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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
' a a 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: Reroof
Address: 1359 Nettles Blvd
Property Tax ID#: 4502-501-1546-0007 Lot No.
Site Plan Name: Block No.
Project Name: Winks 1359
MW
Remove existing roof material to deck; renail to code. Install underlayment SA and 1"standing seam Metal .
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator V Roof 5/12 Pitch
Total Sq. Ft of Construction: 1200 Sq. Ft. of First Floor:
Cost of Construction:$ 10,950.00 Utilities: —Sewer _Septic Building Height: 10ft
BRIM Milli
IN 111;
Name John Winks Name:Douglas E. Roe
Address: 1359 Nettles Blvd Company:Code Red Roofers, Inc
City: PSL State: F\ Address:3341 SE Slater St
Zip Code: 34957 Fax: City: Stuart State:FL
.Phone No.616-240-3777 Zip Code: 34997 Fax:
E-Mail: Phone No 772-287-2829
Fill in fee simple Title Holder on next page(if different E-Mail Permits@coderedroofers.com
from the Owner listed above) State or County License CCC1326574
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.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X 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 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 attorney before commenting work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF nqQ.(J-I`K) COUNTY OF
Swo_ rwto(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of
V Physical Presence or Online Notarization hysical Presence or Online Notarization
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Name of person Yhaking st ement. Name of person aking st tement.
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Type of Identification Type of Identification
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20