HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
s `L, L-L C_LL
L 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 IMPROVEI1t
Address: 5111 SEAGRAPE DR
Property Tax ID #:3402-608-0007-000-8
Site Plan Name: NIA
Project Name:
DETAILED DESCRIPTION OF WORK:
a
Lot No.35
Block No. 25
WE WILL TEAR OFF EXISTING ROOFING SYSTEM, NAIL THE DECK OFF TO CURRENT CODE, INSTALL A
SECONDARY WATER RESISTANT BARRIER ALONG WITH A 5-V METAL ROOFING SYSTEM
New Electrical Meter NIA
CONSTRUCTION I
Second Electrical Meter N/A
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: 2600
Cost of Construction: $ 15280
_ Generator _ Roof
Sq. Ft. of First Floor: N/A
Pitch
Utilities: _ Sewer _ Septic Building Height: 15
OWNER/LESSEE: L
CONTRACTOR:
Name NATE ENDER
Name: Christopher Collins
Address:5111 SEA GRAPE DR
Company:Collins Roofing Inc.
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.269-208-9660
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34979 Fax: N/A
Phone No 772-940-8607
E-Mail:SIAMESECAT136@YAHOO.COM
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 Commencemem: is requwreu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: or
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
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 buildin ermit applications are exempt from undergoing a full concurrency review: room additions,
accessory strut s, swim g pools, fences, walls, signs, screen rooms and accessory us er non-residential use
WARNI TO OWNER: ecord a Notice of Commence may result in mg twice for
i rovements r property. A tice of Commenceme must be recor i the public recor s of St.
ucie Cou sted on he jobsi a before the first i ection. If you ' nd obtain ' g, onsult
with I r attorn efore co mencin work o ecordi f C ment.
Signat Contractor/License Holder
Si ature of Own see/Contractor as Agent for Owner
STATE OCOUNTY FLORIDA
STATE OF FLORIDA
(/ iQ�j�
COUNTY OF C�i_ LwLe
Swo7 to (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
✓ Ph al Presence or _Online Notarization
this �y 202VI by
Phy, ical Prese ce or _ Online Notarization
day 202�by
of J
this of
hn igtec �,�Ilnc
Name of personknaking statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification ✓
Type of IdentiflQation
Type of Identification
Produced
Produced
(Signature o'rlqotary Public- State of FI i )
Rebekah Hoy
(Signature o o Public- State of FI i a )
Rebekah Hoy
Commission No. C�1�('0lr) NOTARY PUBLIC
�� 1
y
OTARY PUBLIC
No.
_STATE OF FLORI
ACommission
ae TATE OF FLORI
Comm* GG29461
' ? ConmN! GG29461
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