HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
I [Luc uls R
[1
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
AM
PERMIT APPLICATION FOR: Re Roof
PROPOSED IMPRO—Al
Address: 5716 BALSAM DR
Property Tax ID #:3402-610-0298-000-1
Site Plan Name: NIA
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.7
Block No. 80
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, TORCH APPLIED
ROOFING SYSTEM WILL BE APPLIED ON THE FLAT ROOF
New Electrical Meter NIA Second Electrical Meter NIA
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: 2700
Cost of Construction: $ 18350.00
_ Generator _ Roof
Sq. Ft. of First Floor: N/A
Pitch
Utilities: _Sewer _Septic Building Height:15
OWNER` ISSEE: _ --_-
NameSTEVE 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: NIA
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 $7,500 or more, a RECORDED Notice of Commencement is required.
UPPLEMEN N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not ApplicableMORTGAGE
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 building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING WNER: ur failure to Record a Notice of Commence ay res n 'r
imp ements to yo roperty. tice of Commencem must be reco ecords of St.
L Ie County an o ed on the jobsi a before the first i pection. If y to d tcing, consult
nan
ith le er o ore c mencin work recordi r N ' e oent.
a e/Contractor as Agent for Owner
a tr nse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S+- LUii.e
COUNTY OF bo6e
Swoyrf to (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
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(Signature o No ary Public- State of
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