HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
LL
I _
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5015 SEAGRAPE DR
Property Tax ID #: 3402-608-0047-000-0 Lot No.27
Site Plan Name: WA Block No. 52
Project Name
DETAILED DESCRIPTION OF WORK:
WE WILL TEAR OFF THE EXISTING ROOF DOWN TO THE DECK, NAIL THE DECK OFF 1-0 CURRENT C.ODL_,
INSTALL A SECONDARY WATER RESISTANT BARRIER ALONG WITH A 5-V METAL SYSTEM ON THE MAIN
HOUSE AND C( AmrC_n SYSTEM ON THE FLAT ROOF.
New Electrical Meter NIX Second Electrical Meter NIA
EC:O�N:S�TRUCTION 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: 2100 Sq. Ft. of First Floor: NIA
Cost of Construction: $ 22,880 00 Utilities: —Sewer _ Septic Building Height: 15FT
OWNER/LESSEE:
CONTRACTOR:
NameDAVID BREJCAK
Name: Christopher Collins
Address:5015 SEAGRAPE DR
Company:Collins Roofing Inc
City: FORT PIERCE State:
Zip Code: 34982 Fax:
Phone No, 772-739-6002
F-Mail:d•brejcak@yahoo com
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34979 Fax: N/A
Phone No 772-940-8607
Fill in fee simple Title Holder 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 Applicahl.
Name:
Address:
City: State: _
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
city:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicahlf�
Name
Address: _
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address'
City:
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 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 build' applications are exempt from undergoing a full concurrency review, room additions,
accessory str res, swimmik pyp races, w signs, screen rooms and accessory aria ene�r non-residential use
7RG TOOWN vemen v yo rds of St.
Cou and p sted on t�}e jabsit before the first ' spectian. If u ' nd obtain financ gconsult
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actoF as Agent for Ownet __,4-TiAp3)sugodFContracthCiTitaaee'fiolder
STATE OF FLORIDA' STATE OF FLORID � `, -
COUNTY OF �"[' Lodi.- _ COUNTY OF fi t_UCte
Swoo (or affirmed) and subscribed before me of
Pal Presence or --Online Notarization
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Name of person making statemen .
Personally Known ,-' OR Produced Identification
Type of Identification
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(Signature of NZrary`Public- State of Florida
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Commission N NOT YPUBLIC
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