HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
o u Building pp 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 IMPROVE
Address: 5409 PALM DR
Property Tax ID #:3402-609-0123-000-0
Site Plan Name: N/A
Project Name:
X
Lot No.25
Block No. 55
DETAILED DESCRIPTION OF WORK'
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 N/A 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: 2200
Cost of Construction: $ 15040.00
_ Generator _ Roof
Sq. Ft. of First Floor: N/A
Pitch
Utilities: _ Sewer _ Septic Building Height: 15
ER/LESSEE:
CONTRACTOR:
Name STEVE ARNOLD
Name: Christopher Collins
Address:5409 PALM DR
Company:Collins Roofing Inc.
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.772-940-4226
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code:34979 Fax: N/A
Phone No 772-940-8607
E-Mail:STEVEN747@MSN.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 Commencement is required.
If value of HAVC is $7,SDo or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: '
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
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 structure pools, fence walls, signs, screen rooms and accessory use o another non-residential use
WARNIN O OWNER: Y allure to Recor a Notice of Commen ent may resul 1 wlc or
i ovements to u property. A Noti of Commence t must be re d in the public ecords of St.
nt
cie Count ed on the jobsite efore the firs spection. If In nd to obtain fin cing, consult
with len tarnewbBFore co encinEr wor r recordinE* it ice menr m,
OOF
n of Owner/ Lessee/Contractor as Agent for Owner
Si of Contract-o77Uicense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S�— �QZ ,
COUNTY OF � �Ctg
Swgrn to (or affirmed) and subscribed before me of
Swoyrf to (or affirmed) and subscribed before me of
,// Ph .cal Presence or —Online Notarization
this of 202ID by
✓ Ph IcaI Presence or Online Notarization
this 202®by
ay of �,
A.f i 44nr I ti(15
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Name of perso making statement.
Name of person rhaking statement.
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Personally Known OR Produced Identification ✓
Personally Known OR Produced Identification
Type of Identification
Type of Identificatign
Produced
Produced
(Signature o Notary ublic- State of F ida)
Rebekah Hoy
r
(Signature of Notay ublic- State of Flor' )
`� NOTARY PUBLIC
Rebekah Hoy
rat
Commission No. A a OF FLORI
OTARY PUBLIC
,&ommission No..� Q Q
❑STATE
Comm# GG29461
ESTATE OF FLORI
" = Comm# GG294610
cEExpires
E 19
Expires 2/17/20
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