HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number-
``.: LL.L1 L
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: 5800 Myrtle Dr
Property Tax ID #: 3402-609-0329-000-4
Site Plan Name: NIA
Lot No.11 + 12
Block No. 61
Project Name:
DETAILED DESCRIPTION OF WORK:
WE W[LL TEAR OFF THE EXISTING ROOFING SYSTEM, NAIL THE DECK OFF TO CURRENT CODE, INSTALL A
SECONDARY WATER RESISTANT BARRIER, AND A 5-V METAL ROOFING SYSTEM. WE WILL ALSO INSTALL A
TORCH APPLIED SYSTEM TO THE FLAT ROOF.
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 _ Sprinklers
Total Sq. Ft of Construction: 2500
Cost of Construction: $ 17605.00
_ Generator ^ Roof Pitch
Sq. Ft. of First Floor: N/A
Utilities: —Sewer _Septic Building Height: 1517T
OWNER/LESSEE:
CONTRACTOR:
NameDIANE HANCOCK
Name: Christopher Collins
Address:5800 MYRTLE DR
Company:Collrns Roofing Inc
City: FORT PIERCE State
Zip Code: 34982 Fax: NIA
Phone No. 561-213-1161
E-MaiLNIA
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34979 Fax: NIA
Phone No 772-940-8607
Fill in fee simple Title !folder on next page (if different
from the Owner listed above)
E-Mail collinsroofinginc@gmail.com
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 LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: 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 Home
applicable 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 strut swimmE pools, fences, walls, signs, screen rooms and accessor her non-residential use
RAN
WAR TO OWNE • i r failure cord a Notice of Commen ent may r in aying twice for
provemen o your roperty. A otce of Commence nt must b ecorded n the public reco s of St.
Lucie Cou a os d on the jo to before the firs ' spectio you int obtain financing, consult
with le er a e c mmencin wor or recor ' our r f me ent.
S� Owner/ Lessee/Contractor as Agent for Ow r
Cont ctor/License Holder
STATE OF FLORIDA
STATE OF FLORrD#
COUNTY OF _
COUNTY OF e
Swor o (or affirmed) and subscribed before me of
Sworn t Po/I affirmed) and subscribed before me of
P vsital Presence or OqJine Notarization
this day of 2021 by
'Phy5ical Presence or Online N tarization
this y of K 202� by
roach s
Name of persoA making statement.
Name of person Aking statement.
Personally Known OR Produced Identification L'
Personally Known OR Produced Identification
Type of Identiffica.Ucin
Type of Identifi n
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- St
Rebekah Hoy
Commission No. NOTARY PLI
J'P�NOTARYPUBLIC
L*mmission N STATE OF FLORISTATE
OFF
RIDA Comn-� GG2946t
_
.E�
Expires 2117
ZONING
Ex re 22��1
SUPERUI�ORWRNS
!2
REVIEWS
FRONT
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
_
RECEIVED
DATE
COMPLETED
Kiev.