HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
`L' R,.
- 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
CPROPOSED IMPROVEME
Address: 5010 BUCHANAN DR
Property Tax ID #: 3402-602-0062-000-3
Site Plan Name: NIA
Project Name:
0
Lot No.17/18
Block No. 2
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 NIA Second Electrical MeterNlA
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: 2600
Cost of Construction: $ 16,400.00
Sq. Ft. of First Floor: N/A
Utilities: _Sewer _Septic Building Height: .15
OWNERAESSEE:.
C0 TOR:
Name BOB THOMPSON
Name: Christopher Collins
Address:5010 BUCHANAN DR
Company: Collins Roofing Inc.
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.772-460-0104
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34979 Fax: N/A
Phone No 772-940-8607
E-Mail:BOBNALI@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.
PPLEMENTALCONS,
N LIEN LAW INFORMATION:
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:
UWNER/ CUNTRACTUR 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 Count
yy 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
WARNI OW R: Your failure to Record a Notice of Commence may resu 'n paying twice for
i rovements t your pro lotice of Commencem must be reco a lic records of St.
ucie County�rl p on the jobsi before the first i ection. If y ten to obtain fi ancing, consult
with lend r attorney before co encine work or arnrriina v ntir of rnmroonr mont
ure of wrier/ tractor as Agent for Owner
ign ontra se Holder
STATE OF FLORID�>,�
STATE OF FLORIDA
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Swor o (or affirmed) and subscribed before me of
P cal Presence or Online Notarization
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Physical Presence or _ Online Notarization
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Name of person m king statement.
Name of person making statement.
Personally Known OR Produced Identification _
Personally Known OR Produced Identification 1�
Type of Identification
Type of (dent' ' tion
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(Signature c of _Z ic- State of Florida)K Rebekah Hoy
(Signature of Notary Public- State of
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