HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number
Z*C I -
Buil-rA'ing 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: 11505 WILLIS RD
Property Tax ID 4: 2309-342-0001-000-2 Lot No. SEE PROJ?"ME
Site Plan Name: NIA Block No.
Project Name: 9,35 39 E 112 OF E 112 OF NW 114 OF SF 114 OF SW 1/4-L.FSS N 30 FT
DETAILED DESCRIPTION OF WORK:
WE WILL TEAR OFF THE EXISTING ROOF, NAIL THE DECKING TO CURRENT CODE. iNSTALL A SECONDARY
WATER RESISTANT BARRIER ALONG WITH AN ASPHALT SHINGLE SYSTEM ON THE MAIN ROOF AND A
TORCH DOWN SYSTEM ON THE FLAT ROOF.
New Electrical Meter NIA Second Electrical Meter N/A
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank _ Gas Piping f Shutters
Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 13,900.00
WNERf i,ESSEE;
NameDARELL POWELL _
Address:11505 WILLIS RD
City: FORT PIERCE State:
Zip Code: 34945 Fax:
Phone No.772-777-0988
E-Mail: DPOVdELL@AWARETECH.COM
Generator
___- Windows/Doors _ Pond
Sq. Ft. of First Floor: NIA
Roof Pitch
Utilities: Sewer Septic Building Height: 15FT
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Christopher Collins
Company:Collins Roofing Inc.
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34979 Fax: NIA
Phone No 772-940.8607
E-Mail collinsroofiriginc®gmaii.com
State or County License CCC-058011
If value of construction i, 25M or more, a RECORDED Notice of Commencement is required.
If valve of HAVC is $7,500 or mare, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION, uENLAAW
IN
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: i 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 bu!ld 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 Ame
The following building permit applications are exempt from undergoing a full col c ncy review: ro add[
accessory structu s, a walls, signs, screen rooms and essory uses to ana on -resident[ use
WARNI 00 Your failure to R cord a Notice of Com ncement may r t in aging twice for
i rove t our property. A otice of Commen ment must be code in the public re rds of St.
ucie C n posted an the job ate before the fi inspection. If o e btai an g, consult
with I attorn ore ommencin wo or recor ' f C ce nt.
d
f wne see/Contractor as Agent for Owner
Signature of Contractor tense Holder
STATE OF FLORIDA
STATE OF FLO DA
COUNTY OF_F-• Lyc;t_
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this L�L day of k)FyOrA [� 2020 by
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this day of 12024 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification ✓
Personally Known OR Produced identification ✓
Type of Identification
Type of Identification
Produced t`�L
Produced
(Signature o Notary Public- Stat ' FERNAND08ETANCOUF
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