HomeMy WebLinkAboutBuilding Permit App - echo pines cir i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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.7 I -
Building Permit Application
Planning and Development Services
building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce F1 34982
Phone.,(772)462-1S53 Fax:(772)462-1578
PERMIT APPLICATION FOR: Re Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5402 E ECHO PINES CIR
Property Tax ID#: 1312-500-0143-000-0 Lot No.142
Site Plan Name: N/A Block No. N/A
Project Name:
DETAILED DESCRIPTION OF WORK:
WE WILL TEAR OFF THE CURRENT ROOFING SYSTEM DOWN TO THE DECK,NAIL THE DECK OFF TO CURRENT CODE
THEN WE WILL INSTALL A SECONDARY WATER RESISTANT BARRIER ALONG WITH AN ASPHALT SHINGLE
ROOFING SYSTEM. SA-V AND SA-P WILL BE APPLIED TO THE FLAT ROOF.
New Electrical Meter N/A Second Electrical MeterNlA
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 Pitch
Total Sq. Ft of Construction: 2000 Sq. Ft. of First Floor: NIA
Cost of Construction:$ 17,260.00 Utilities: _Sewer _Septic Building Height: 15 FT
OWNER/LESSEE: CONTRACTOR:
Name DIANE RUSSELL Name: Christopher Collins
Address:5402 E ECHO PINES CIR Company:Collins Roofing Inc
City: FORT PIERCE State:_ Address: PO Box 12867
Zip Code: 34951 Fax: City: Fort Pierce State: FL
Phone No.972-365-4978 Zip Code: 34979 Fax: N/A
E-Mail:N/A Phone No 772-940-8607
Fill in fee simple Title Holder on next page( if different E-Mail colllnsroofinginc@gmail.com
from the Owner listed above) State or County License CCC-058011
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 LAIN INFORMATION:
DESIGNER/ENGINEER: __ Not Applicable' MORTGAGE COMPANY: x Not Applicable
Name: -- _ _ Name:
Address: Address:
City: State City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: =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.
!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 builds rmi pplications are exempt from undergoing a full coneM
rtio ,accessory strut es,swimmin ence , alls,signs,screen rooms and eso er non reside sal use
WARNIN TO OWN .Y urfailuretoRe rdalloticeofCo encerne i paying twice or
i rovemen oy rproperty. AN liceofComme ement in the public records of St.
cie Cou and steel on jobs' e before the rst inspe Ionto obtain fin cing, consult
with le r aftf orrec r in nee ent.
gna of Owner essee ntractor as Agent for Owner Sig on ratter ense Holder
I
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S± L1 COUNTY OF S-� 9 p_
Savor (or affirmed)and subscribed before me of Swor (or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this_Cr day of �ff� �ilkyL� ,Z02� by this day of 202+ by
r hR r 1 c�1,.(r ins
Name of person aking statement. Name of perso making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Ident- ation Type of Identification
Produced Produced
(Signature of Notary Public State of FItoRebekah Hoy (Signature of Notary Public State of Flori aNOTARY PuBL! Rebekah Hoy
Commission No. STATE OF FLO CVbmmission No. qa Ss NOTARY puBLlComm#GG2946 0 -STATE OF FLO a Cormrw GG294 i
je Expires 2117/2 2
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