HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/14/2021 Permit Number:��
o SEP X 6 z0
Planning andDevelo mentServices Building Permit Ap.plieatiorfpemitt��ntY
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Building and Code Regulation Division (()1nmOcial Residential X
2300 Virginia Avenue; Fort Pierce FL 34982
Phone:-(772) 462-1553 Fax: (772) 462-1578
PERMITAPPLICATION FOR: Metal Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address2107 Nettles.Blvd; Jensen Beach, FL 34957
Property Tax ID #: 4502-501-O'11,0-b00-5 Lot No.
Site Plan Name: 'Block No.
Project Name,: Carter; Melissa'& Steven
DETAILED DESCRIPTION OF WORK:
Remove existing roofing material, repaidie-nail decking;'Install seam tape install synthetic underlayment, nd in§tall new Premier 5V. Crimp metal roofing'system.
_'. 7rNo l Icy �
New Electrical Meter Second Electrical Meter
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 2/12 Pitch
Total Sq. Ft of Construction: 15.4 SQ's Sq. Ft. of First Floor:
Cost of Construction: $ 11,224.00j - Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Melissa & Steveri Carter'
Narne: Troy Glowth
-Add r..ess:2,107 Nettles Blvd
Company-..Brilliant�Roofing &.,Restoration
City:, Jensen Beach - State: PL.
Address:4149'SEt`lerno Road'
?:Zip Code: 34957. ; Fax:iN/A -
ti
City:, Stuait " «. 7 ;� State: F.L
•..
-,Phone No; 336-736-2072:,,,
Zip Code:: 34997:Fax: `N/A
E-Mail: scarter1886@yat b.66if "
Phone No 772-678-6654
Fill in fee simple Title Holder on next page ( if different
E-Mail Mail@brilliantroofing.com
from the Owner listed above)
State or County License CCC1327906
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:-
X Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name:
Name:
Signature of Ow r/ Lessee/Contractor as Agent for Owner
Signature of Contract License Holder
STATE OF FLORIDA
STATE OF FLORIDA '
COUNTY OF Marun
COUNTY OF I`110r%Z:V1 N
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence 'or Online Notarisation
this tath day of september , 2021 by
this tath day Of September , 2021 by
Troy Glowth
Name of person making statement.
Name of person making statement.
Personally Known-x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification-
Type of Identification '
Produced
Produced
(Signat re f Notary Public- State of Florida)
(Signatur of otary Public- State of Florida )
Commission No. HHsoaS M(f@WLAwRENCE
Commission No. HH 90458 ,..•.., ... LAwRENCE
„
.rotary Public -State of Florida
- 'r �~''��•` rotary Public -State of Flo