HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: 5808 Cassia Dr, Fort Pierce, FL 34982
Property Tax ID #: 3402-610-0350-000-4 Lot No. 2
Site Plan Name: NIA Block No 82
Project Name: Tear off I Re- roof
DETAILED DESCRIPTION OF WORK:
We will tear off existing roofing system, nail the decking off to the current code, install a secondary water - resistant
barrier, and install an asphalt shingle roofing system. We will also Install a SA-V SA-P system on the flat roof
New Electrical Meter NIA Second Electrical MeterNIA
CONSTRUCTION INFORMATION:
i
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: 2900 Sq. Ft. of First Floor: NIA
Cost of Construction: $ 20,690.00 Utilities: _ Sewer Septic Building Height:
OWNER/LESSEE
CONTRACTOR:
Name Barbara Hodges
Name: Christopher Collins
Company:Collins Roofing Inc.
Address: 5808 Cassia Dr.
City: Fort Pierce FL State:
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-464-0694
Zip Code: 34979 Fax: NIA
E-Mail: barbljudy2@aol.com
Phone No 772-940-8607
E-Mail collinsroofinginc@gmail.com
Fill in fee simple Title Holder on next page ( if different
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,-
1 DESIGNER/ENGINEER: Not :Applitible
MORTGAGE COMPANY: Not Applicable
Name: _
Name:_ _
Address:
Address:
City: State:
j City: St,lt:c.
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
WARNIN O OWNE . Your u a Notice of Commencem-pt yin twi
provements to property. A Notic f Commencement must be recorde a public recor of St.
Lucie County a po ted on the jobsite bef re the first i pection. If you i nd to o tain financing, co suit
with lender n at orne befo mme in work recording ou t' f C e cement.
Sign ure of Owner/ Lessee on ractor as Agent for Owner
Sign ntractor License o
STATE OF FLORN� T
STATE OF FLORIDA`
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Sw,6rn to (or affirmed) and subscribed before me of
N Physical Presence Online Notarization
Swcyn to (or affirmed) and subscribed before me of
Physical Presence Online
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thisAl day of G y
or Notarization
this li day of � ".& by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification! !'''
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REVIEW
REVIEW REVIEW R VIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20