HomeMy WebLinkAboutREROOF PERMIT APPLICATION - 4205 BURNT FOREST CTAl! APPLIOWU 000 MtJST BE COMPLETED FOR AP'PLICAVO N TO BE ACCEPTED
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Permit Nwnber
Building Permit Applicatloln
Pjjaranrnp prig ae?weJopm@Af Smices X
9LukAnpsurdmale irrpuWieq DJMOm Eo111mercial ResldeniIdI -
d Wrairk? Avrnwr, FMI PWM Fr! 349O2
Phone; (7 22) 462- 1553 Fax: �772 M 4161.1578 CBDG Funding
PERMIT AP PU ATION FGR.' FEE ROOF
PROPOSED IMPROVEMENT LOCATION:
Addrns= _4M Ri"I F[rmt CT FORT PIERCE
Rropertw' Tic ID it; 313 � 3��41 _ — -- tr,E nro.4713
51te Plan Ram(--. RJa€k ND.
ProMfct Mpme:
DETAILED DESCRIPTION OF WOR.K;
REMOVE SH I NC4E RCW - -
INSTALL FEEL & STICK F=L11602
INSTALL 5 V METAL ROOI= FL 2 7499
Naw Ehmzical 10etet 5 tend FI -rk@? Me#fr iA6Hd2VI1 re-gtrlr49dj
CONSTRUCTION INFORMATION -
Additional Wur k u) w perdormed u rider this perm it — 0@0 a1f thet 3PP1'!'
_AAw:h11pc#I _C3as irk _ Gai Pip+nR T 5111utters _ W[ndowsfC4wrs _ Pdrid
ElEetrlc : Plu-nbJnyg _ SprinklwN ! Ceneraw X Rw( 12 Pktch
Total 5er, Ft of ConymK-Tlon: 389a Sq Ft. of Fast Fodor: 3899
Cos# oll ConstrucOm. *t 22900 UillitloS- _ Sewer _5eplc MOdInR Wkght: 6 FT
O N E# LESSEE:
Name PhIllp Eme[
Address; 4,205 BLu11Tt Fwswt (Tr
ar;r FORT pJ FIDE _ _ stake_ FL
�Up Code: 34951 _ Faw
Phone No. €-
FRI In F" pWMple T1tle Holder co next Page { if ditlaraa'I#
horn the owner abte4 above)
CONTRACTOR:
Iyams; ROLAND WtLEY
,Vann. SHORELINE ROOF ING
A,ddro.m_ 11973 SW %4NDALE STREET
01#yFORT 0 Llj CIE Slake; FL
Zip Code: 3<e7 Fix'
philne lq.D-280-9565
E-Mall SHORELINLROOF'ING YAHOD,COM
state -Pr 0�urptk iloerrse C 1 ,8-3'11 T0
if of rluaitmi djan R 2500 Or mwre, ih RECORdED NbTltt OP Commex-mmrrx Is ngwkvd. it MPlud of I iAVC Jr, S?,500 ar nwro, ik RECORDED NDTJ[t W Corrnrneowoemnt k, MuFr*d.
15U PPLE I ENTAL CONSTRUCnON L9 EN LAW I N FO RMAXION ;
bESIGNERIENGINEER:
Not ApPlIcahlL'
MO-RTGAGE CGMPAW: _ Not Applicable
Name; Name: _
Address-- Adores%.
61r. 5tate: Cstyr: Stag;
Zip: Zip: Fiiar�d±: -
FEE SIMPLE TIRE HOLDER; ! Nat ApplicahFe SohIDING COMPANY: �hlot Applluai}ie
Name;
Addrew
City:Zip, Korla!
—
Na me;
I Addrkss: _
cIlly. -
7j.p; Phone:
GWN:ER/ CONTIEI,EIC'4' H AFFIDVIT: App1k41idn Is hereby rnadt kri obtsln a pmtrNr so do vie wwk and Irrsxallahoh sd indlcated-
I Eeriffy V1141 nD work of im%ilarJon Lies tarrrm-enced wivr to Lhe Issaanar 1314 i5ermit.
5t �o+r larn manes n# r�p reserFta rrn rhaC ranki a ptrrnit a�haMze Shoe permik to build t` s�bJ�rt 3krt urt
whlth Irks "iO.ar� applicable r4ameowners r�+ion rules, q�ws ar and thwtst at n111yr re tnct or pruhftT 9u
ktrL ture. Pl"Ne eo�Iski wath your Homeownium As ration and re etirr your 4 fnr arty, rn Mitri0ns Ich may apply.
in eonslderakkyft br the grar3tlnE Qr Phis requester ptrrMl% I do: rnr4ry &ghee that I will. %n all reaper rs, {storm She work
rn aa;wdame.wrth thr. approved pins, The Florida kWIkahg codes and Sc Lure coriaty Aniemdrnenm
the Follnwingbulldlna p0mll, WppllCatl4ns arrt exemprk From +ra$&Ralkiga dull cbnturren" rrriew: roam addil
a:cesrrory Skructurts. swImum rq poc4's, renEmr. yualls, Sins, sqr4an t4 brns a n 6 a=ssar9 usff tj:� ar.brher -nBy10WnIad WSe
WAFRNlNG TO OWKER: Vour failure 10 Fleeord a N04Ce Of Cum"em"mul► In paying tw6mfor
im proaements to your prpperty. A Notice of Corn menvement must 'be tOcOfded i rL t hn public rewfds 4f St.
I. utie county and posted on the Ir?bfLlte betWe the first in5pertlofl. If YGU i r+terld to 01500 fIfi ancing, CGrl.Wit
wittl Ji�rrdpr or &D wqqrney WOFL' c0mme5irl work or „erfiFdln NotJeE of Commencement. _
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SUPERVISOR PLAIN6 VEWA,TPON SEA TURTLE MANGRGVE
RFrV1f- 411 RE -VIM RIEVIFN I RWFW I NPIEEW