HomeMy WebLinkAboutREROOF PERMIT APPLICATION - 155 NE JARDAIN STAll APPUCOLE INFO MUST BE COPAPI.£TED FOR APPUCATIO R TO IiIE ACCEPTED
Dim 1 12�&2021
Permit Nomner;
LUCl1L•'
III
B u lid Ing Perm It Ap plication
0uftrm aired Cofre N egwk p D n DfvjT4f COM m e rd al RI35identi a I
BN ViFVM40 Avenue, far! PirlM Ft .
Phorip: (712) 46-1• 1553 Fax: �772I A - 3 578 C$DG Funding
PvRMrF A-PPU ATION FOR: REROOF _
PROFkME D I MPROVIEMENT LOCATION: u— --
Add ress. 155 NE Jain Rd PORT ST LUCIE 349&3---
Pi•ppertw flax aD 3419-565-0054-0004 �r.�s r 4.18
So PI -an Name: Bruck Na. 78
Project Name.
RETAILED DESCRIPTION OF WORK:
—RE VE TILE -
kN STALL PEEL & S-RCK UNDERLAYME NT FL256!a
INSTALL SHINGLE FL 18355 tN TALJL R I DGEVENT NOA NO. 1 �IL1217,03
New ElratM ical Meter R%tonad Electrical Meter _ [Affidavit requWedj
CONSTRUMON INFORMATION.
Addittanar work w bo pitrfarmed under this permit, chock al that apply:
=Mecha.nicaE _ Gas TO nk _ Gas F4plrrg _ 5hu ngm _ Yvir►d4owoom Pond
Ellectrlu _ PIUMIyIM _ Sprinklers _ enc�x F;per Si 2 PkCItr
TMI 5q. Ft of fioristruccj"; . 56 _ Sq- Ft, u� First Floor; 2256
Cost of ronstrorlion; S 10-300 UtiItties. _ Sewe —septic Sullding KelgNj: iI ET
OWNER/LESSEE-
Name Villlam KornrnmE- t
Addr-esr;_ 155 CIE Jardwn Rd
CONTRACTOR: 1
Name- ROLAND wl I EY _
Company: IKOI+ EUN E RCORNG
City: POINT ST L UCI E State; r-L Adldrma: 1973_3.W.Cj FfjnW y. &TRpEj
ZIP Gkdc 34983 Fax; --- Clt-r. PORT ST LUOIE Stag, FL
Phone Hrk. E- Zip Cade_ 34987_ Fax-
Makl_ = Phone No -2 9565
FIII in fee simplm TltW Hutdaran nmd page (H 01 t "Mt £-Mi3l] $I40RELENE ROOF IF gYAH ._bM
f1om the Owner limed -abawl State or Cow nryr Uwnsv
IF rilue of Co&strurdYrFP IS LSM or more: a ilECON ED IQ4iW of CommNenlert'demt ks reguk#d,
IF Veiue of HAVC It $7,5►JC R :none, 0 RECORDEd Niglim of Carnrnmwemerit is requirmd_
5U PPLEM E NTAL CD NSTR UCTION LI EN LAW IN FOR ATIC N'
aE � hI R EN�SINEER: root Appl6rahle
Name:
Add ress:
City: ate:
ZI#: Phcle
FEE SIMPU TREE HOLDER: _ Nat Applkable
N ame: _
Address:
City,.
Zip; Phone.
MOMAa COMPAW, Not Appllcable
uama
Addres-s;
City, _:Stale: --
Tlp; Phalle-
_
l UM COMPANY: —Nat ARplli; 1 l e
Iiamel
Adidrew
ZIP: Phr
OWKERI CONTRACrOR AFF bVff: Appliatiprii Is hereby made txroM&n a petrnir w do the *Wk;Ind hvAapawn as Indicated
I cerdfy that rio .ark -Pr rrtsurl, 6Dn has rrammenimLd prier W rhLL Wuanm or a perrniL
fie. Lair IATr�r� k n4 r�RresentMdon � is IPrQrl+;n a Pe rt II authorize the pertna hPlder M bK4M [he sub svurftre
whlrh eon l�rls wLth *nY apRlr�hl- sMVrneuwners As Ian +ulex s � am di �unnarrts that rnaV r'esbla or p ii Iu�
per vura• Muse r:onsultwith your "Meownrri Ass�odation and ew your deed fm "t"IclkRiF which maw apply -
In =nraderatlan cf the graming of thll -r"oe ed pwm rt, a do he mw Mree i*ai I wlr� iik AI respects, perfarm the work
In a= darltt w43 h tho aporwed plans, the rlorlde Building Qld cs ar+d St. UKIs County Arnendmenis.
T?Fe lbq (owing buMng gem% appIkmbmm are 4bwmpr #I►trr. undRgmna a f M concur-renev revww-- rb,om additipms,
aacv%sory s%rwF.Ti,r95. iwlrnr+rirg vo&k dencrs, walls, rdprls, svefn roorr,s one bmh5sorx uses to anothar nPn-residential uie
'WARNING TO OWNIEW Ygur fatlum to ReWF4 a Mapat ofCammenQemerrt may result 6m pay4nR twrC# For
I rrkpl-OVeMePtt 1O yvu r proverry. A Novae of CDmMenri�menr miist be recordea In the PLO Ic raoords of St.
Lucie COUM and p0-91M on thv Jobsi#e before tfi a First inspecturr. if VOLL iMtL'rl d to nbta in finarldrlg, consul t
leoft or an a4prnay h•r:fOM OUmrnenriing work or remiclJnIt Vaur Notlre of (�Clrnfmncernent. —
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Sip dc-pre of ❑wnerj
art rtir Cower
SATE OF FLORIO
COUNTY OF
SwAoci. to or aM �d TMed m qne of �leel Prti� tt
i r+t' n df orrtlne Matar�ation
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Name cc Perkol mijl n-M cement. -1
ft•sa"Iq IKnawrr 1r QR Prq,qw�pd Idansrfi,-aa'.Dn
Type Idr+nIifc-Rtiur% Prod used_
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RfVIf1N5 I r,� NrTIF I R�"rr� I S REVIEW I M IE I fc� I RREV EW E I -REVIEW F
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