HomeMy WebLinkAbout213 OLIVE AVE PRODUCT APPROVALPERMIT #
PROPERTY ADDRESS
LEGAL SECTION
DESCR
OWNER
CONTRACTOR
City of Port St. Lucie Building Department
121 SW Port St. Lucie Blvd RE -ROOF PERMIT
Port St. Lucie, FL 34984
772-871-5132 -- http:llpandapublicweb.cityofpsi.com Shingle
Construction under this permit will be done in accordance with FBC 61h Edition (2017)
13 0 i v-e-
BLOCK
191,
MAIL ADDRESS
MAIL ADDRESS
CONTRACTOR E-mail Address
Commercial:0 Residential
PIN #
❑ Affordable Housing - State Func
Poet St _ L u c c FL
LOT Parcel ID#
qP
ZIP
ZIP
/ • a1
PHONE
o7-74(0-
FAX #
4S
- 6.1-73 - o ao S
PHONE
STATE LIC. # �)-3a r7g
PSL COMP #
Roof Type: Hip ❑ Boston -Hip ❑ Gable ❑ Other ❑ Roof Pitch: 13 112 slope Cost of Construction $ j
Roof Deck: EXISTING DECK TO REMAIN -Any sheathing modification would require an engineer
Underiayment applied directiy to roof deck �Ycs ❑ No
Existing Roof Covering: Existing Roof Covering MUST be Removed Proposed Roof Covering:
'*`Shin les can NOT be used on roof slo es of less than 2112 Pitch —
Asphalt Shingles: Must be classified by one of the following to resist the basic wind speed (FBC R 905.2.6.1 & 1507.2.10) n
ASTM D 3161 - Class F❑ ASTM D 7158- Class H ❑ TA5107❑ Manufacturer�( I-
Q_ Product Name:. � Product Approval
—Manufacture's installation specs must be on the jobsite at the time of inspection—
Proposed Flashing: Galy/Steel ❑ AluminumIj Copper[] Lead El Other
Ridgevent to be installed? Yes 1� No ❑
New Skylights? Yes❑ (separate permit & fees required) Noy Replacement ❑ (separate permit, no fee required)
Applied Date: Rec'd By: Reviewed by Date PERMIT FEE:
THIS PERMIT BECOMES NULL AND VOID IF CONSTRUCTION OR WORK AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6 MONTHS ATANY TIME AFTER WORK IS COMMENCED.
OWNER'S AFFIDAVIT: I certify that all the forgoing information is accurate and that all work will be done in compliance with all applicable laws regulating to construction
and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE
OF COMMENCEMENT.
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5igriature of Contractor Date Signature of Owner r-Builder) Date
r M t-rh
Print Name Print Name
�Stlt�
�LINAMARIAGOMEZ
NOTA UBLICof Florida NOTARIAL SEAL +��' o
[ ],� * Commission ft HH 078887
State of Florida my of Wires January 4, 2025
County of CJ Z� , 'koFtLo¢ Bonded rhruBudgetNotary swvices
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The fore o 'nstrument was acknowledged before me by means 6f physical presence or online notarization this i5 day of � , 20 2I , by tv{GYi\. 5;r tTYI
o is personally known a me has produced as identification.
Payment Method: Last 4 or Check #: Receipt #: