HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
`L. LlICI . L
�J I
` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax- (772) 462-1578
PERMIT APPLICATION FOR: Re Roof
PROPOSED IMPROVEMENT LOCATION_
Address: 3452 SUNRISE BLVD
Y
Property Tax ID q: 2428-702-0045-000-2 Lot No.4
Site Plan Name: N/A Block No. 3
Project Name:
DETAILED DESCRIPTION OF WORK:
WE WILL TEAR OFF THE EXISTING ROOFING SYSTEM TO THE DECK, NAIL THE DECK OFF TO CURRENT CODE, INSTALL
SECONDARY WATER RESISTANT BARRIER ALONG WITH A 5-V METAL ROOFING SYSTEM.
New Electrical Meter N/A Second Electrical Meter N/A
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. 1 1� Hri -_ Sq. Ft. of First Floor: NIA
Cost of Construction: $ 12035 00 Utilities: — Sewer _ Septic Building Height: 15 FT
OWNER/LESSEE:
CONTRACTOR: -'
NameWILLIAM HAVEN
Name: Christopher Collins I
Address:3452 SUNRISE BLVD
Company:Collms Roofing Inc.
City. FORT PIERCE, FL State: _
Zip Code• 34982 Fax:
Phone No 772-979-3593
Address. PO Sox 12867
City: Fort Pierce State: FL
Zip Code: 34979 Fax: NIA
phone No 772-940-8607
E-Mail:SHARNAL@BELLSOUTH NET
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: Nnt Applicahis MORTGAGE COMPANY: Not Applit,ibie
Name: -- - - - - — Name:
Address: _ _ Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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.
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 building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and access s other non-residential use
ur ecord a Notice of Comme ment may result n yingtwicefo
WARNING O>to
im vemeproperty. A otice of Commence nt must be recor d in the public re rds of St.
ie Counted on the jobs to before the first ' spection. If you nd to obtain financ' g, consult
ith lender b Co mencin work recor o of t.
e of wn ess ractor as Agent for Owner
CATf—ractorAktse Ho
STATE OF FLORIDA,..
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STATE OF FLORIDA
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Sworn to (or affirmed) and subscribed before me of
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Sworn to (or affirmed) and subscribed before me of
Ph sisal Presence or � Online Notarization
P ysical Presence or Online Notarization
this day ofPs�U' G 2024 by
t/hi]st dayofnzp�1 2021 by
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Name of person making statement.
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Personally Known OR Produced Identification
Type of Identification
Type of Ide tification
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Produced
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Rev. 5/6/20