HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
1, LLCIL
` .. �,' & _ 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: 5608 Deleon
Property Tax ID #: 1301-613-0333-000-2
Site Plan Name: NIA
Project Name:
Lot No. 8&9
Block No. 151
DETAILED DESCRIPTION OF WORK:
We will tear off the existing shingle roofing down to the decking. Nail the deck off to current code. Install a secondary
water-resistant barrier, and a new ashpalt 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
Total Sq. Ft of Construction: 3743
Cost of Construction: $ 15860.00
_ Sprinklers
W Generator _ hoof
Sq. Ft. of First Floor: NIA
Utilities: —Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
NamejamesBusbin
Name: Christopher Collins
Company:Collins Roofing Inc.
Address:5608 Deleon
City: Fort Pierce State: _
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.772-672-2099
Zip Code: 34979 Fax: NIA
E-Mail: busbin4@att.net
Phone No 772-940-8607
Fill in fee simple Title Holder on next page ( if different
E-Mail collinsroofinginc@gmail.com
State or County License CCC-058011
from the Owner listed above)
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.
i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
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 5t. 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 nay result in payjttg.tWice-for
irrmprOvemCts to'your property.. A Notice of Commencement must be recorded -in the public records -of St.
Lkitie County and posted on the lobsite before the first inspection. If you intend to obtain financing, corisult
with lender nr.aii attnrnev before corrimencine work ortecordine vour&otice of Cefiimencement.
SI rta;'of Owner Lessee/Contractor as Agent for Owner
Slgnatute of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID!,
COUNTY OF
COUNTY OF L
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
5w rn to (or affirmed) and subscribed before me of
T Physical Presence or Online Notarization
this _ day of 12020 by
this _ day of .2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ` OR Produced Identification
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Rev. 5/b/20