HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAli AVIIH( Alit l tNI O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07106121 Permit Number:
t l rZ.I' i ===' `— 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: 6003 Hickory OR
Property Tax ID #: 3402-609-0631-000-4 Lot No, 25
Site Plan Name: N/A Block No. 69
Project Name:
DETAILED DESCRIPTION OF WORK:
We will remove the existing roofing system, nail oft the decking to current code, and install a seconday water resistant
barrier along with an architectual roofing shingle system.
New Electrical Meter NIA Second Electrical Meter NIA
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 _Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 3700 Sq. Ft. of First Floor: NIA
Cost of Construction: $ 15,100.00 Utilities: —Sewer _Septic Building Height: 18,
OWNER/LESSEE:
CONTRACTOR:
Name Christopher Moore
Name: Christopher Collins
Address:6003 Hickory Or
Company:Collins Roofing Inc.
City: Fort Pierce State:
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.772-370-1194
Zip Code: 34979 Fax: NIA
E-Mail. cowboyszl@hotmail.com
Phone No 772-940-8607
Fill in fee simple Title Holder on next page ( if different
E-Mail coilinsroofinginc@gmail.com
State or County License CCC-058011
is required.
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
OWN ER/ 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,
twith
struct wimming ools, fences, walls, signs, screen rooms and acce to another non-residential use
TO O : Your failu to Record a Notice of Com ncement may re aying twi
ovem s our property. A Notice of Comme ment must b corde j in the public re ds of St.
C osted on theJ bsite before the fi t inspection. you intendJto obtain financing, onsult
I orrm- befo commencing wn nr rarnrdin vniir Nntirci C'nmmonramssnt
Si re of O see/Contractor as Agent for Owner
Signatu Contra ctor/Lice ns er
STATE OF FLORIDA ((��
RI STATE OF FLO
COUNTY OF G1 J (,a° _
COUNTY OF tE
Sworn for affirmed) and subscribed before me of
Sw rn or affirmed) and subscribed before me of
_ Physical Prese a cyr Online Notarization
_ Physical Present: r Online No arization
this % day of 202� by
this day o 2027by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced identification
Personally Known OR Produced Identification
Of Type Identifi tion
Type of Identifica
Produced
Produced
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Commission No. Cor�woGGF35939
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